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<br /> <br />Fee Simple Titleholder Address I <br /> <br />131udf ~Ul <br />I On l~ . clUK\ <br /> <br />813-78D-0020 <br /> <br />Date Received <br /> <br />s;~( L,~ A 18w~'ff~ <br /> <br />Owne(s Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <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 />l(Pf~ ( <br /> <br />jD-o,-OCo <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />I <br />I <br /> <br />I <br />4i CuY1fYl.Oc-(c IYl. I LOT # I I <br />PARCEL 10# 13t/ ' .).0;-- - ;;2..1 - 0 tco - (WuOO - 0"''' <br />(OBTAINED FROM PROPERTY TAX NOl1CE) <br />SIGN D MOVE D <br /> <br />B <br />D <br />D <br />I J:: e (l C-R. <br />I <br />5drJ <br /> <br />I <br /> <br />B <br />D <br />D <br />/ PY'/va~ <br />SQFOOTAGE I 12. S <br /> <br />D <br /> <br />D OTHER <br />D STEEL D <br /> <br />~ .\~S- <br />I ""BG", I <br /> <br />ADD/AL T <br />REPAIR <br /> <br />DEMOLISH <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />COMM <br />FRAME <br /> <br />OTHER I <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />1$ <br />1$ <br />1$ <br />1$ <br />D <br /> <br />FINISHED FLOOR ELEVA~rS I <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />DNO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />D <br /> <br />WRE.C. <br /> <br />PROGRESS ENERGY <br /> <br />AMP SERVICE <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />ROOFING <br /> <br />OTHER <br />DYES <br /> <br /> <br />BUILDER <br />SIGNATURE <br />Address <br />ELECTRICIAN COMPANY <br />SIGNATURE REGISTERED <br />Address <br />PLUMBER COMPANY <br />SIGNATURE REGISTERED <br />Address <br />MECHANICAL COMPANY <br />SIGNATURE REGISTERED <br />Address <br /> <br /> License # <br />~ FEE CURRENT L'0.!:U <br /> License # <br />Y/N FEE CURRENT L'0.!:U <br /> License # <br />Y/N FEE CURRENT L'0.!:U <br /> License # <br />Y/N FEE CURRENT L'0.!:U <br /> License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />I <br /> <br />1.37/,/; La..u.roLl ~n70c.Ld~- <br /> <br />COMPANY <br />REGISTERED <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) wor1<ing 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) wor1<ing 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 Fences (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />