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<br />813-780.Q020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fa:<-<l13-780.Q021 <br /> <br />I ~ -(2-07 <br />OwneJ'sName!D>RIS 5 HOU LTS I <br />""'",....... 1\0 2-ZD I D -+jo .st Z~pory i-J,lls I <br /> <br />Fee Simple Titleholder Name I <br /> <br />Phone Contact for Penmting ~ ~ -- ~-::2l <br />Owner Phone Number ~783 -1#'/1 <br /> <br />Date Received <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address I <br /> <br />1(02:2--0 10 -rb S+ Ze.phr~ /.I;/Is fl 33stJ;2. <br /> <br />I TY SO tJ I PARCEL 10.1 OJ.. -;Jlo-.;JI- ro~()- <br /> <br />E3 NEW CONSTR D ADD/AL T D SIGN <br />INSTALL 0 REPAIR <br />PROPOSED USE D SFR D COMM D OTHER <br />TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME D STEEL <br /> <br />DESCRIPTION OF WORK IV, (\j~ I FENCE :CNs+A II A-+'~N <br /> <br />I SQ FOOTAGE I .:1..00 I I HEIGHT <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />u <br /> <br />SUBDIVISION <br /> <br />(xj 2.00 - DZttO <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED <br /> <br />D <br /> <br />MOVE D <br /> <br />DEMOLISH <br /> <br />I f- e:. N C'E -:+: NS+<:" II <br />o OTHER c:= <br /> <br />BUILDING SIZE <br /> <br />D BUILDING 1$ c.,..-, (pS. '?>., I <br />D ELECTRICAL 1$ I <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I <br />D GAS D ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <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 />~OL ./ <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER FeNcE Ji ~, 7 &5, 31 <br />DYES DNO <br /> <br />BUILDER <br />SIGNATURI! <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />L~ <br /> <br />Address <br /> <br />ELECTRICIAN I <br />S1GNAT1JRE , <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />L~ <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />L~ <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />L~ <br /> <br />Address <br /> <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SICN PERMIT <br /> <br />DIrections: <br />Fill out application completely, <br />o...ner & Contractor sign beck of application, notarized <br />If over $2500, a Notice of Conmencement Is required. lAIC upgrades over $5000) <br /> <br />Agent (for the contractor) or POIN9r of Attorney (for the owner) lM:luld be someone wrth notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERNlTTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways.needs ROW <br />