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<br />~~s~ <br /> <br />(L I.) ~ .:t Owner Phone Number I <br /> <br /> <br />I Z't P t11<~"3 -avner Phone Number I <br /> <br /> <br />~ Owner Phone Number I <br /> <br />City of Zephyrhills Perm' <br />Building DePartmelllease Call It" <br />407-469-55990 f 407-469-3499 fax 99 fax <br />Phone Contact for Perm <br />g, 3 - q':::'f\ - ~S~; I <br /> <br />I <br />I <br />1 <br />I <br /> <br /> <br />1f;29 7/ ctY~ <br />. <br /> <br />813-780-0020 <br /> <br />IJ <br /> <br />_ @ Team K5 <br /> <br /> <br />Date Received <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address 1 <br />13C\,to\ ~ m( 40D1.000\) <br /> <br />k'1~A 00<.--:>000 't:S7f'}T!J I <br /> <br />SUBDIVISION <br /> <br />10z <br /> <br />PARCEL 10# 1 \ 3 ~ J...IP - 21 Ok.o - (I 0000 - 1.0 to <br />(OBTAINEO FROM PROPERTY TAX NOTICE) <br /> <br />LP <br /> <br />LOT# <br /> <br />WORK PROPOSED <br /> <br />ADD/ALT <br />REPAIR <br /> <br />COMM <br /> <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />OTHER I <br />STEEL D <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCTION <br /> <br />B <br />D <br />D <br />I <br /> <br />NEWCONSTR <br />INSTALL <br /> <br />SFR <br /> <br />BLOCK <br /> <br />~ <br />CJ <br />CJ <br /> <br />SIGN D <br /> <br />MOVE D <br /> <br />DEMOliSH <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />e.e r\ac.e <br />I <br /> <br />s w i--.J~.s. <br />sa FOOTAGE I <br /> <br />Sj)LJ- <br /> <br />.Q:>\ - J, ~ <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />=l,lm~*;':~I!;;!ini~~Fr;!*p~!.~fI#m,t;mi;;!~t~m~;~m;j~m;;ml~*;t*;mij';jil!i~,I~~!~~i~i!l:#I;Ui;;mi;p=lil~_!tii=n;~liitlJi;;I;'lm;mtiimlm,~;m:~mu.;~lIlimll!lr,;rnmm;lm~!;Hlii;;!!i!iii!ii,,",mnliliii!~~Uiw.i;m!!ii!il~'F.~iURfi!";!!~!;ml~,m;DI~.lll~~i <br /> <br />12'SJ <br /> <br />1$ ;l <br /> <br />D ELECTRiCAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />BUILDING <br /> <br />J. IY, <br /> <br />VALUATION OF TOT AL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />CJ <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />WR.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />CJ <br />I <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />~i,i!:3jiij;ii~i!~ilm~ii~m~:;m~lligjj~I!~:!il~~!lim~~!m~l!!~.mi~;g;ij~m!i~m~~mii5i~l~ii;lij~mm;j~jjil!~im;OOlilm~II:!~lj~!l~1m:lm~!limUllur.C!D3m:~lmlHmm;;;:i:lil4liiml!ii~m~rnimm~~!!~1~lm;~~mi~lij~m::lim;w.~mt:i!~1 <br /> <br />COMPANY I <br />REGISTERED ~ FEE CURRENT L~.L~-.J <br /> License # I <br />COMPANY I <br />REGISTERED ~ FEE CURRENT I YIN I <br /> License # I <br />COMPANY ~ I <br />REGISTERED YI N FEE CURRENT <br /> License # I <br /> L.Y..u:LJ I <br /> Y/N FEE CURRENT <br /> License # I <br /> o €'PoT A=r HO'" f .f\.J---=+ <br /> FEE CURRENT L.Y..u:LJ <br /> License # I C&IISO-=roO,3 <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Add ress <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Add ress I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Add ress ! <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Add ress <br /> <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />!r~R!iml!U!!:~W~!I!!U.:!S!!r.!;Ut;;;Um;lmWF;iWjlallm:!*li!UG;;1hi!!m;;;u!i.~qm;;lm!liiiI!IW;~U;l!taia;;;"!n;il!"m:!!lIn;;;;!IEmiiS!;Ull~jg;a:.;Siimi;m!i!jI;r;:Jj;l!!!~;;ii!l!;.II!l <br />Attach (2) Plot Plans; (2) sets of Buiiding Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary 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 onsite, Construction Plans, Sanitary Facilities & 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 />iiii~~mi#;;I~llil!;;!I~mi:;iiili;;i~mH~jm!g::~:lUitiil~lim:miim:limi:l~mmmliimllillgWIUiiiinUlWiilillmi~miIU~~CU:illilllm;:;im~mmmll;glllmlilUGillI1jIlIUWIII~I:;r.limllllliiliIIIUmliimlU::rJm~g~*miimjli:;I=;Uliilllilml~Ui~lIm~Um~lil~1 <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Com mencement is required. (A/C upgrades over $5000) <br /> <br />Agent (for the contrac~or) or Povver of Attorney (for the owner) would be someone vvith notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING 'Front of Appiication Only) <br />''''4''.~ht",,,"''i...!;.~.~'.!.~\U,''''''.'''c ~~~..t#\j.f1"!.... d AlC <br />" ""I'l'I n1A;;;~'~!fi,'",..,.. ervlCe "fgra es Fences (PloVSurvey/Footage) <br /> <br />~.~Q~ounter t~~iC ~adwayS . needs ROW <br /> <br />C~i":'~" ;'l_! ~~.~:.~ 1.:: <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br />