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Date Received \ - ' Owner's Name WIJ..UAf'.;1 CAIZt?L JP, iJ: Owner's Address I "B~"!J4. /..AN~I ""7 AI/I: ZJt' Fee Simple Titleholder ~amel Fax-813-780-0021 ~~1 . 613-780.0020 City of Zephyrhills Permit Application Building Department Fee Simple Titleholder Address 'I 'I ~'~~;J- k9~~OV6- AVE , LOT# 1 1.5I.S!riPY ~l.LDW ~/~ PARCELID#I O~ 1..b 2/ 02..(00 Ooa:>O , ' (Q8T A1NED FROM PROPERTY TAX NOTICE) D NEW CC)NSTR rvr- ADDIALT 0 SIGN 0 MOVE 0 D INSTALL t:J REPAIR PROPOSED USE 0 SFR D COMM 0 OTHER TYPE OF CONSTRUCTION D BLOCK D FRAME 0 STEEL 0 OTHER I DESCRIPTION OF WORK I C4:1tvTlC.iJC'" ~#,f!:D~1'L1 AJJ~Aca.Jr"T7> MDt3Il.E' ~~G ~UILDINGSIZE 11//'1)L /F!s I SQFOOTAGI~I /~~f~- I HEIGHT I et, I JOB ADDRESS I~~'" SUBDIVISION DEMOLISH WORK PROPOSED I I I . I I I I I . . I I I . . I I I I I . I I . I . I . . '. . I ." I I I I ._ I . I . I I. : I . .' I . I . . .1 I I ~ . . . . . I . I I I I I I" I I I . . I I I . . I . . I I . I I . . . . I . . . . I . . . . . . . . I I I . . . . I . . I. I . . I. . . . I . . . . . I I . . I I . . . . I . . . . SIGN PERMIT o BUILDING 1$ 24743';- I o ELECTRICAL 1$ I o PLUMBING 1$ 'tP I o MECHANICAL 1$ '0 - I o GAS D ROOFING D SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ~o 11111111111111111111111111111111111111111111111111111111111111111111'111111111111111111111111111111111111111111111111111111111I11111111111I111I11I BUILDER ! p~~ ~_ / .. l CO",PANY I lA-~~ CC)7, $""" I SIGNATURE . "/Y~..e~~" -+ REG~TEREO Y IN. FEECURRENr I Y I N I Address , LIcense # I I ELE,. CTRICIAN I COMPANY I SIGNATURE , REGISTERED V I, N ' FEE CURRENT Y I N Address I License #1 I I I I I I Address I LIcense # I I 11111111111111111111111111111111111111 ! 1111111111111111111111111111111111111111 i IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIJ 1111111111 lUll RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms ' Minimum ten (10) working days after submittal date. Requiied onsite, Construction Plans, Sanitary Facilities & 1 dumpster Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. ' 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 Directions: ' ' . ,. . ' Fill out application completely. . .' Owner & Contractor sign back of application. notarized If oyer $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) .. , Agent (for the contractor) or Power of Attorney (for the owner) woulli be someone with notartzed letter from owner authortzlntl OVER THE COUNTER PERMITTING (Front of Application Only) :: Reroofs Sewers Service Upgrades AlC Driveways Fences (PlotlSurvey/Footag VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C VALUATION OF MECHANICAL INSTALLATION COMPANY REGISTERED PLUMBER SIGNATURE V/N FEE CURRENT V/N LIcense # Address MECHANICAL SIGNATURE COMPANY REGISTERED VI N FEE CURRENT, yrN Address LIcense # , OTHER SIGNATURE COMPANY REGISTERED I VI N FEE CURRENT V/N COMMERCIAL . I ;.' .;,. ":;~" ;,.~ '" .