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<br />Date Received
<br />
<br />
<br />
<br />Fa...'3.7B.-o';bofO y
<br />
<br />.813-780.0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />23-07
<br />L//VJ:J /7 ::DilL I()N
<br />Owner'sAddress 16/;/5" /l/e4SQ/tt Sf.
<br />Fee Simple Titleholder ~amel
<br />
<br />Owner Phone Number ~ 13 - 7 g> () 4 8" 0 'IS
<br />CAtl.'C C:fo\ 'b :1J' 7 Q :l 9
<br />Owner Phone Number ~l3~ CA.J - 1 ,~'1
<br />{;"'11bf#--"} I '
<br />Owner Phone Number .
<br />
<br />Owner's Name
<br />
<br />JOB ADDRESS
<br />
<br />Fee Simple Titleholder Address 'I
<br />
<br />'1 0.1;Z 5 jJ/~ a. <; ~ rf ~--Jr -e>-e t:-
<br />I act ,.ts /d.(?
<br />
<br />WORK PROPOSED
<br />
<br />B
<br />o
<br />o
<br />
<br />NEW CONSTR
<br />INSTAll
<br />SFR
<br />BLOCK
<br />
<br />/~~I
<br />r=(
<br />o
<br />o
<br />
<br />LOTI I
<br />(
<br />PARCEL 10#1 02-- 21Q-2/- (j)UJ -OD.3oD";" 00/0
<br />(qaT AINED FROM PROPERTY TAX NOTICE)
<br />ADD/Al T 0 SIGN D MOVE 0 DEMOLISH
<br />REPAIR
<br />COMM ~ OTHER
<br />FRAME D STEEL
<br />
<br />SUBDIVISION
<br />
<br />-6?-~ ~-
<br />
<br />DESCRIPTION OF WORK
<br />
<br />
<br />
<br />----
<br />
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />I
<br />
<br />, ~ . ,. , . . . , . . . , , . , . . . . . . . . . " . , ,', . . . ,. , , , , , ; , . , , . .. " . , ~. , . , , , , , . . , . , , , .. . , , , , , , . , , . . , , , . , , .. .. , , , .. , , , . .. . . , . , , ' , . , , , , . , , , .. , , , , , , , .. ,.. .. , , , , , , , ,
<br />
<br />I
<br />
<br />SQ FOOTAGE I
<br />
<br />HEIGHT I
<br />
<br />BUILDING SIZE
<br />
<br />0 BUilDING 1$ 7~'C, oe> I
<br /> -
<br />D ELECTRICAL 1$ I
<br />D PLUMBING 1$ I
<br />0 MECHANICAL 1$ I
<br />0 GAS D ROOFING 0
<br />FINISHED FLOOR ELEVATIONS
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />AMP SERVICE
<br />
<br />o
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W,R.E.C
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />SPECIALTY 0
<br />FLOOD ZONE AREA
<br />
<br />OTHER
<br />DYES
<br />
<br />DNO
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />
<br />'''<:0
<br />I COMPANY
<br />REGISTERED
<br />
<br />
<br />SIGN PERMIT
<br />
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />
<br />
<br />Address I license # I I
<br />11111 11111 11111 11111 11111 11111 11111 III! I111I1I11I1111I111111111I111111111111111 i 11111111111111111111111111111111 J 1111111 J 111111111] 1111111111III11
<br />RESIDENTIAL Attach (2) Plot Plans; (2) s~ts of Building Plans; (1) set of Energy Forms .
<br />Minimum ten (10) working days after submittal date. Required onsile, Construction Plans. Sanllary Facilities & 1 dumpster
<br />Attach (3) sets of Building Plans; (1) set of Energy Forms.
<br />Minimum ten (10) working days after submittal date, Required onslle, Construction Plans, Sanitary Faclllties & 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 />11111111111111111111111111111111'1111111111111 J II J 111'1111'11 J 111111111111 J 11111111111111111111111111111111111111111111111111 J 11111111111111111111
<br />Directions: .... ,
<br />Fill oul 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 Allorney (for the owner) would be someone with notarized letter from owner authorizing sam",
<br />
<br />OVER THE COUNTER PERMITTING (Front of Application Oniy)
<br />Reroofs Sewers Service Upgrades AlC
<br />
<br />Addr'ess
<br />
<br />license #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />ELECTRICIAN
<br />SI~NATURE
<br />
<br />Y/N
<br />
<br />. FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />license #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />license #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />YI N
<br />
<br />FEE CURRENT
<br />
<br />YIN
<br />
<br />Address
<br />
<br />license #
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />I' YI N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />COMMERCIAL
<br />
<br />Driveways
<br />
<br />
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