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<br />Fee Simple Titleholder Address 1 <br /> <br />ISmAU(., <br />I <br /> <br />813.780-0020 <br /> <br />Date Received <br /> <br />Owner's Name c.. \\"" --( 0 t:=:" <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name 1 <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />1 '533>S <br /> <br />'- 't....-P 1+'" 'R.. \-\ \ L LS <br />S' -0.-.. <;'1 e.. u:.. T <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />SFR <br /> <br />f.s, ll-1Avv I 2.SPl-\<[:~f<.H-\ L.L5 <br />I PARCEL 10# I <br />B <br />D <br />D <br /> <br />LOT # <br /> <br />(OBTAlNEO fROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />~ <br />D <br />D <br />ISrvST ALL <br />1 <br /> <br />D <br /> <br />D <br />D STEEL D OTHER I <br /> <br />I L 0 iT D c.. ~ ,..nt:....e. <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />ADD/AL T <br />REPAIR <br /> <br />COMM <br /> <br />OTHER <br /> <br />BLOCK <br /> <br />FRAME <br /> <br />~o L\(.,,~n pCl..<t $.1 <br />SQ FOOTAGE I <br /> <br />HEIGHT I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />0 BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />1$ <br /> <br />1$ (p 5?J 000 <br /> <br />1$ <br /> <br />1$ <br /> <br />D GAS D ROOFING <br />FINISHED FLOOR ELEVATIONS 1 <br /> <br />I <br />I <br />1 <br />I <br />D <br />I <br /> <br />DNO <br /> <br />D <br /> <br />D <br /> <br />AMP SERVICE <br /> <br />PROGRESS ENERGY <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />~-~. <br /> <br /> <br /> ~ FEE CURRENT L.Yi!:U <br /> License # <br />COMPANY FLO ft-I':>A ;:r,... r.;>v?f It- IGt L LL[C1 R..C-- <br />REGISTERED / N FEE CURRENT /N <br /> License # lEG '~o03?31 <br />COMPANY <br />REGISTERED Y/ N FEE CURRENT L.Yi!:U <br /> License # <br />COMPANY <br />REGISTERED l...!:..!....!: FEE CURRENT L.Yi!:U <br /> License # <br />COMPANY <br />REGISTERED Y/N FEE CURRENT L.Yi!:U <br /> License # <br /> <br />Address <br /> <br />\ 0 So tv\.. ....<.-(.1'- "DR. \ '-'V <br />4-........-A 't'Y\.QN'tL c:o..f Q..v~c. ~) -f-'- ~~ L 0\ <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onsite. Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (Plot/Survey/Footage) <br />