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<br />813-78lJ.OO2O <br /> <br />City of Zephyrhills Permit Application <br />Builcling Department <br /> <br />Fax-813-780-0021 <br /> <br />~ Received ...l \ \ - \ I - O~ I Phone Coractfor PennittI~ I <br />........-CJ'0i". D llltnre C.[;D (",~l"'-'~ -7 &i-1m~] <br />Qwner'sAddreU 13~1f5 mt1rheJ fuuore I OwnerPtoaneNumber I I <br />File Simple l1tlehalder N8me I ~ I Owner Phone Number I I <br /> <br />File SImple TItleholder A__ I I <br />I ~8\()<1 f)1/'Lr'Kf>t 5q;1(\('P. 1 LOT' I I <br />I I PARCELIDlI o2-lw-21- 0010 -{)3qm-rn;;rl <br />(OBTAINED fROM PlKIPER1Y TlU{ NOTICE) <br />8 NEWCONSTR D ADD/ALT ~ SIGN 0 MOVE 0 <br />INSTAlL D REPAIR <br />PROPOSED USE 0 SFR 0 COMM 0 OTHER <br />TYPE OF CONSTRUCTlON 0 BLOCK 0 FRAME 0 STEEL 0 OTHER I I <br /> <br />DESCRlPllONOFWORK Iliimc.a:!e-()rY1 '[ngt-oJl nf'e: 5etl~noJll[ '1IIlJminAkr\~r1('X)j le.fhs I <br /> <br />I sa FOOTAGE I I HeIGHT I I <br /> <br />o BUILDING 1$ 5:200, 0 () <br /> <br />o ELECTRICAL 1$ <br /> <br />o PLUMBING 1$ <br /> <br />o MECHANICAl 1$ <br /> <br />o GAS 0 ROOFING <br />FINISHED FLOOR ElEVATIONS I <br /> <br />JOB ADDRESS <br /> <br />SUBDMSlON <br /> <br />WORK PROPOSED <br /> <br />DEMOUSH <br /> <br />BlHLDlNG SIZE <br /> <br />I VAlUATION OF TOTAl CONSTRUCTION <br />I AMP SERVICE <br /> <br />I <br /> <br />I VAlUATION OF MECHANlCAlINSTAlLATlON <br /> <br />D SPECiAlTY 0 OTHER <br /> <br />I FLOOD ZONE AREA <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C, <br /> <br />NDC- <br /> <br />'vI <br /> <br />CJYES <br /> <br />DNO <br /> <br />~ <br /> <br />~RE I ~ / / IZ- qo.r.) == ~6FEE~S ~ <br />-ll/tiI~'ril:lj(:\\d\\hllb:~IlVfQB,J -~l{al L~;-Ir:r <br />EL.EC1RICIAN COMPANY I <br />SIGNATURE REGlSlERED ~ FEECURRENT ~ <br />A__I I <br /> <br />=~I <br />I <br /> <br />L_II <br /> <br />COMPANY <br />~ <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />L_II <br /> <br />A__ <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />AddreU I <br /> <br />OTHER I <br />SIGNATURE . <br />~I <br /> <br />COMPANY <br />REGlSlERED ~ FEE CURRENT ~ <br /> L_II <br />COMPANY <br />~ ~ FEE CURRENT ~ <br /> L_II <br /> <br />SIGN PERMIT <br /> <br />Attach (2) Plot PIan8; (2) sets rA Building Plans; (1) set of Energy Forms <br />Minimum len (10) working days 81ter submittal date. Required ensile, Cons1rucIiOn Plans, Sanitary Facililies & 1 <1Jmps\er <br />Attach (3) sets rA Building PI8la; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Requinocl ensile, Conslructlon P...., Sanitary Facilities & 1 c1Jmpsler <br />All commercial requnments must meet complience, <br />Attach (2) sets rA Enginewed P...., <br />--pROPERTY SURVEY required for all NEW construction, <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />DIrections: <br />Fdl out applicalion complelely. <br />Owner & Conlrac:Ior sign back of application, notarized <br />If _ S2liOO. . NcI4Ice 01 Coln....lC8I1llIIlI: Is.....red. lAIC upgrades - $110OO) <br /> <br />- Agent (for the c:ontractor) or P~ rA A!10ff'1f11 (for the oomer) would be 8ClIllllOI18 with nohwiZed Ietlsr from - -.orizing - <br /> <br />OVER THE COUNTER PERMIT11NG (Front rA App1ic8lion Only) <br />Reroofs SewenI Service Upgrades NC Fences (PlotISunteylFootage) <br /> <br />~ over COlrt8r W on public roadways.,nMds ROW <br />