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<br />813,7{IO,0020 <br />t <br />i' <br /> <br />City of Zephyrhills Permit AppliCatiOn <br />Building Department <br /> <br /> <br />Date. Recel <br /> <br />OWner Phone Number <br /> <br />OWner Phone Number I <br /> <br />OWner Phone Number I <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />55' "3 '-I <br /> <br />Gq/ /4JS/v1 <br /> <br />~ <br />o <br />o <br /> <br />7 flOhr' ,/(5 I F'I ""'"'iJ <br /> <br />PARCEL ID# _ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />DEMOLISH <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />o <br />o <br />o <br /> <br />WORK PROPOSED <br /> <br />E3 <br />o <br />o <br />I Pv\A>h c.rr, <br />I <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />OTHER I <br />STEEL D <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />0(2 n'\<.A,J-\-. Ol.L+-~~ I <br />SQ FOOTAGE Il1 100 <br /> <br />DESCRIPTION OF WORK <br /> <br />6'u.:> ',-\-ch <br />HEIGHT I <br /> <br />Su. V:> pn V"I <>.0. <br />1 <br /> <br />BUILDING SIZE <br /> <br />III.'.........,.............,...........,.............."...... .......................... .......1,'.': ...............,......................" <br /> <br />1$ I <br />1$ I <br />1$ I <br />1$ I <br /> <br />D GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />I <br />I <br />I <br /> <br />D <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br />D <br />D <br /> <br />o <br /> <br />D <br /> <br />W,R,E,C <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />PROGRESS ENERGY <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Lr.L!:U <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE , <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I License # <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />RESIDENTIAL Attach (2) Plol Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) worldng days after submittal date, Required onslle, 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 onslte, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance, <br />Allach (2) sets of Engineered Plans, <br />....PROPERTY SURVEY required for all NEW construction, <br />1111111111111111111111111111111111 r 111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />Directions: <br />Fill out application completely, <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Nollce 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 />COMPANY <br />REGISTERED <br /> <br />Lr.L!:U <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Lr.L!:U <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways,Not over Counter If on public roadways..needs ROW <br /> <br />l <br />;yC <br />)., , <br />I ,'- (../ <br />'\ ~vv <br />{'\\1 -v..' 1,j' <br />" ,\ ~ t 1/ <br />\ C,;,;> (.: ('\ <br />,\ i"" ,,'" <br />L"v\' ,{ {, <br />, '\ ;I <br />'V'iC/ G <br />{J <br />