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<br /> <br />Fee Simple TllIeholder Address I <br /> <br />1733~ <br />I <br /> <br />1$ <br />1$ <br />1$ &t1OetJ:(J <br />1$ <br />D <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br />Owner's Address I 7 3 ) 9 <br />Fee Simple Titleholder Name I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />D <br /> <br />BUILDING <br /> <br />D ELECTRICAL <br /> <br />~ PLUMBING <br /> <br />D <br /> <br />MECHANICAL <br /> <br />D <br /> <br />GAS <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />1)8 rtJSoN <br />iA A/D()/J/;-e <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />/)1< <br /> <br />I <br />I <br />I <br />I LOU I I <br /> <br />PARCEL 10# I 35""-:2.. f-;2. {-ooS--I/- tJOQcJO - /5'7dl <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN D MOVE D <br /> <br />D <br />D <br /> <br />Hlf'llre~ <br /> <br />I <br /> <br />LANDo II If' /l /:) A.. <br />I <br /> <br />B <br />D <br />D <br />iAJA r/:I <br /> <br />~ <br />D <br />D <br />I ~/!~L-k,V <br /> <br />I so FOOTAGE I <br /> <br />DEMOLISH <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />ADDIAL T <br />REPAIR <br /> <br />COMM <br /> <br />OTHER <br /> <br />I <br />D <br /> <br />SFR <br />BLOCK <br /> <br />OTHER I <br /> <br />STEEL <br /> <br />FRAME <br /> <br />HEIGHT I <br /> <br />- 1XI7""'" <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />o <br />I <br /> <br />DNO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />W.R.E.C. <br /> <br />AMP SERVICE <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />11 '''''~,;Oj,""-" :;i'ial:::l:~!IlI:'IW'~l\lI'~lI~r"'~1fIII1l111Ul~IOOUllllllJ-~'" <br /> <br />BUILDER COMPANY <br />SIGNATURE REGISTERED <br /> <br />if <br /> <br />YI N FEE CURRENT L!:..!.!:U <br /> License # <br />Y/N FEE CURRENT L!:..!.!:U <br /> license # <br /> cP#1Me-TlM.S <br /> FEE CURRENT Y/N <br /> License # <br />YI N <br /> license # <br />Y/N FEE CURRENT L!:..!.!:U <br /> License # <br /> <br />Address <br /> <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />"';~~mlJH1R~_:U:;;~i~~~1IIIllI ~v- <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) workinq days 8~C' submittal date. Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Gui:i Plar c s',1 01 c:nergy Forms. <br />Minimum ten (11J) ',',',- ,j<J)'" ',l:brni:tal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must Oltlut compliance. <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY requi,ed for all NEW conSlruclion. <br /> <br />1i'''''"'ur'li~If\i''',,;, ,';i...Ja;i.Ji:i:m~ilII_.~_~ <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. (A/C upgrades over $5000) <br /> <br />Agent (for the contractor) or Puwer of /'-. "'Jrney (fl'r ~':r: oWflur) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Feon! of ArmliccJJion Only) <br />Reroofs Sewers Ser/i )grad j\,'C <br /> <br />Drlveways.Not over Counter if on plJt"'Ilir; rnadw8"s needs RO\V <br /> <br />Fences (PloUSurvey/Footage) <br />