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<br />JOB ADDRESS <br /> <br />~~</b <br /> <br /> <br /> <br />Fee SImple TItleholder Address I ~ <br /> <br />! ?Cl5-o cD/kL~/j~, <br />IU?;NY/2//I<<..r ("'C/EV~ I <br />. ('.CI. ~~b . <br /> <br />Owner's Name 457 I 5770 ~~"l)/r4Z- <br /> <br /> <br />Owner's Address I 7d...ro <br /> <br /> <br />Fee Simple TItleholder Name I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />5/k'nN ,.J <br />",2. /1;;. ;,vf7 <br />Fax-813-780-0021 1'u:.. <br />1'];7/~#/1 T"" <br />J. 30~tp <br /> <br />7J-.5- 6r: <br /> <br /> <br />~~ <br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />2e/;)//)Y~/a.,r- ft. f.?3?1~ LOT. I <br /> <br />PARCELID#!.?5...:.ilS....d2/-c;O/tJ - /0;"00 -0000 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN ~ MOVE D <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />E3 <br />D <br />D BLOCK D <br />//N;/2JU- ~ M4-~~ <br />I SQ fi:OOTAGE I <br /> <br />B <br />o <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />AOD/AL T <br />REPAIR <br />COMM <br /> <br />D <br /> <br />D <br />D <br /> <br />/0 ~(~ - S;6~.s- <br /> <br />I HEIGHT I <br /> <br />DEMOLISH <br /> <br />FRAME <br /> <br />OTHER I <br />STEEL D <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br />~ BUILDING <br /> <br />~ ELECTRICAL <br /> <br />1$ rOqoOl) r~ <br />01 0 c:I (} C-!'::! <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />CJ <br />I <br /> <br />AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C <br />FrN-1"c- <::""2~'"C- ~cY~V,.3/O 6x/ Jr'7?~ F(9~u,c(--- <br /> <br />1$ <br />1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />D <br /> <br />PLUMBING <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />Address <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTf:RED <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br /> <br />Y/N I <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE , <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <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 />SIGN PERMIT <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 Driveways Fences (plot/Survey/Footage) <br />