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<br />Owner's Address 5439 Beaunont cntr Bl <br />Fee Simple TItleholder Name I <br /> <br />'0/ <br />~\ 81~_ <br /> <br />Date Received <br /> <br /> <br />Owner's Name <br /> <br />Fee Simple TItleholder Add..... <br /> <br />JOB ADDRES.q <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 />D <br /> <br />City of .Zephyrhllls Pennlt Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />tl- 30- D (0 <br /> <br /> <br />Ownerp~ne Number <br />Owner Phone Number I <br />133634 I <br />Owner Phone Number <br /> <br /> <br />LOT # <br /> <br />111 <br /> <br />4-26-24.- 00 0 - 0010.- 0 II 0 <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />OTHER ~ttr -{-( ~, <br />STEEL is\f";THEJ <br /> <br />E3 NEW CONSTR D ADD/ALT D <br />INSTALL D REPAIR <br />CJ SFR CJ COMM I1SJ <br />Q BLO~ t:l FRAME L:J <br />I ~e1\\.POf{AA~ ~ T({fH~ <br /> <br />" I SQ FOOTAGE I I <br /> <br />DEMOLISH <br /> <br />HEIGHT <br /> <br />",,~~'I!I:.'!:II!Il!1l!!IIIIIII <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br /> <br />BUILDING <br /> <br />D <br /> <br />ELECTRICAL <br /> <br />D <br /> <br />PLUMBING <br /> <br />D <br /> <br />MECHANICAL <br /> <br />L-. <br />BUILDER <br />SIGNATURE <br /> <br />Addre.. <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Addre.. <br /> <br />I <br />I <br />I <br />I <br />CJ <br />I <br /> <br />,OV <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />CJ <br /> <br />PROGRESS ENERGY <br /> <br />c==J 'N,R,E,C, <br /> <br />AMP SERVICE <br /> <br />/21 r/oto l-\.hr-, ~ \ \ e <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />ROOFING <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br /> <br />Dou !as Rd 01 <br /> <br />License # <br /> <br />~~ <br /> <br />Add~.. I 13128 St <br /> <br />~IFlfl~ <br /> <br />Addr... 1210 Douglas Rei E Oldsmar, <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br /> <br />COMPANY <br />REGISTERED <br />Rd 5Lt~Port Richey Fr. \!;~ID I <br />I <br /> <br />Pr'trl1~rl of' ~llnjAn~n <br />Y I N FEE CURRENT <br /> <br />Ucense # <br /> <br /> <br />Airtron Heating and Cooling <br />. I FEE CURRENT I Y I N <br /> <br />License # U. CAC05 751 7 <br /> <br />COMPANY <br />REGIITI!REO <br /> <br />FL 34677 <br /> <br />I <br /> <br /> <br />COMPANY <br />REOISTERIO <br /> <br />FEE CURRENT <br /> <br />Lrcense # <br /> <br />RESIDENTIAL <br /> <br />.. --'I!_- <br /> <br />Attach (2) Plot P1ens: (2) sets of BulldlnQ Plens; (1) set Of Energy Forms ~ . .", <br />MinImum ten (10) working deys after submittal dete. Ftequlred onelte, Construction Plans, Sanitary Facllltles & 1 dumpster <br />Attach (3) ... of Building Plans; (1) set of energy Forms. <br />Minimum ten (10) working days efter submittal dete. Ftequlred onelte, Construction Plans, SanItary Facllltles & 1 dumpster <br />All oomm..ael requlrementa must meet compllence. <br />Attach (2) lets of Engineered Plane. <br />.-PROPERTY SURVEY required for ell NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out application completely, <br />Owner & Contractor 8IOn back of application, notarized <br />If over $2500. a Notice of Commencement I. required. (AIC UPGrade. over $5000) <br />Agent (for the contractor) or Power of Attomey (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 Ale Fencas (PlotlSurvey/Footage) <br /> <br />Drlvewaya-Not ever Counter If on public roadways..needs ROW <br /> <br />"IIIIWIlllllllJll~ <br />