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<br />813-780-0020 <br /> <br />City of Zephyrhllls t-'ermll I-\JJJJllvdllU11 <br />Building Department <br /> <br />Date Received <br /> <br />ol,R <br />Owner's Name LrtfUrlACe. ,e{)U.. <br />Owner's Address I ..JsCf./ Ae 1I1i../J1 a...r/IJ't <br />Fee Simple Titleholder NamJ <br /> <br /> <br /> <br />PASCO PERMIT SERVICE <br />14 <br /> <br />JOB ADDRESS <br /> <br />tUrLq <br />./ <br /> <br />PARCEL 10#1 <br /> <br />Owner phone Number ( c) 7d 3 - 'l,,).j - <ib I() <br />a/I) S 7/- ;)Jf - r; (,.31\ <br />. - . . <br /> <br />I <br />: <br />I <br /> <br />tiJ(i f{ <br />/ <br />J <br /> <br />Owner phone NumberJ IVI';:~ ~ <br /> <br />Owner phone Numb~r I <br /> <br />Fee Simple Titleholder Address I <br /> <br />SUBDIVISION <br /> <br />I JS ot.j A ftlU-/YltL/'l/;f <br />I ThR [n(ra-LIAJ/l7k <br /> <br />LOT t# <br /> <br />1/7 <br /> <br />~Y-d(P -r:J./- tJQY..()-()OaxJ~ dlJcJ <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />El' <br />D <br />D <br /> <br />o <br />o <br />o <br /> <br />OTHER I <br />STEEL D <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />(OST AINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />DEMOLIsH <br /> <br />OTHER I <br /> <br />I <br />I' <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />4fttJ- .s/-u;' ~,,p <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ oY'"'lf\.Q C'i1.. lllY\ Q ./.-.. <br />I Y / N I. FEE CURRENT <br /> <br />License # I <br /> <br />Y/N <br /> <br />Address <br /> <br />Afi~A-1 . v~ etA- <br /> <br />- <br /> <br />3 /' ;;> <br />~':J~ <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />UO"YOl" CYI .2. Nt 0 Ii.. <br />'I' Y I N I FEE CURRENT <br /> <br />License # I <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br />License # <br /> <br />I <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />111111'111' I' 'I 111'11'11' III"" 1111111111111111' '.11111" 111111111' 1111' 11111111111111111111111111111111111' 11111' 'Il 1111I11111 I III i 11111111111'1 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns <br />Minimum ten (10) working days after submittal date. Required onsite. Construction Plans. Sanitary Facilities & 1 dumpster <br />COMMERCIAL Attach (3) sets of Building Plans; (1) liet of Energy Fonns. <br />Minimum ten (10) working days after submittal date. Required onslle. Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for ali NEW construction. . . . <br />I I I I I I I I I I II II I 11111 I I I II I I . II , II , I11I 1I1I1 I I . . I II . I I 11'11 . . II I , III , III1I1 II . j III I I I I ~ III i i i I II I I I I I i II IIII i II I II i . i I II I i II I I i I I I i I Iii I Iii I i Iii I Iii <br />Directions: <br />Fill Qut application completely. <br />Owner & Contractor sign back of application. notarized <br />If over $2500, a Notice of Commencement Is required. (Ale upgrades over $5000) <br /> <br />.. Agent (for the contractor) orPower 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 (PloUSurvey/Footage) <br />