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<br />Ole <br />. z.q.=lY foe <br />.~ <br />.., rt~,.0 <br />I <br />I <br />, <br />I <br />I <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />BUilding Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />,p~,?~~. ~,0~~~t.~,o..~,:.:e~i!~~~~0I~iJ""",,,,,.,,,,,,1ml!! . ." <br />'I'd tos <br />~ <br /> <br />OWner Phone Number <br /> <br />OWner Phone Number I <br /> <br />OWner Phone Number , <br /> <br /> <br />Owner's Name <br /> <br />OWner's Address <br /> <br />Fee Simpie Titleholder Name I <br /> <br />Fee Simple Titleholder Address I <br /> <br />!'3.r{~1 CtJ~dt0 ~2.~jrha'l \s f1 3354:0 I LOU I <br />~'- VIl( IOj.e... I PARCELID#13S--"a5-;;lI-OOC;A-OOC'(')O-1I30 <br /> <br />~ (OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />E3 NEW CONSTR ~ ADD/AL T D SIGN D MOVE D <br />INSTALL U REPAIR <br /> <br />PROPOSED USE D SFR 0 COMM D <br /> <br />TYPE OF CONSTRUCTION D BLOCK 0 FRAME D <br /> <br />I rooF <br /> <br /> <br />BUILDING SIZE I sa FOOTAGE I HEIGHT I <br />;,:;!J;*l::;~~I~I!!!Gm!ilIII*~I;nj;;l~RHjl"'i!WI;!li~m\1;;"H1y!..,m;m_tE!~lHm_lli~;;;!"II!;'1i;nI~IIM";;;~ll:lm.mu;mmnh!Rm!~;~~H;;ljft!I!UIimmjmlnfimmlmllffli;t;m~m~imlllm:Glillimm~HMm;;BnI~~i!i"1 <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />~ BUILDING Lg ~ctb. I VALUATION OF TOTAL CONSTRUCTION <br /> I <br />D ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY D WR.E.C. <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ [ VALUATION OF MECHANICAL INST ALLATION <br />D GAS D ROOFING 0 SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />~ij;!!=liH='!!I~iijj;il:ll~:ilitiii1!;i~:i~I~!jililill~H!i!minm~1~:m:imi;l!;lil;~iilil!~illI;!m,jlill!iil!lilimWU~!IUim:m:illiiimalnmIIGllllBI!mWin~Bld;mllmiiUlWi!ilill~li~I!lIrngmmiRlllm~!I!MlmIlGmnW:i~iilWlml~~limIJmlgwmll <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />, <br />I <br /> <br /> <br />I COMPANY I~ V <C P.or ~1V1~ 5'0<..:7 <br />. REGISTERED Y I N FEE CURRENT <br /> <br />Address 1(.,4(:1. Har~ fl.'f/ T dv-!PC:: ~ 1~IaP License # Ieee (1~<?32q.1 <br /> <br />;iji5~;$;!:l!!'!$ium!!Uli!i:m~m!l~;s;l!~!;mi;;Sl!em;~ia_!iUUQIHr.m!UIWi'!;~ii;iinm;,"nlmiUN!N;I~_IU;!:;i~UEmm1!!im!I;;!!;ehibii!U;m~iWmiiW!imE*Sm!liMmj;;mmi!U;1td!l;m;miEHIJlIm <br />RESIDENTIAL Attach (2) Plot Plans; (2) 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 />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 />~UlliUiij~m=mUlllmjjlllilW.I~Ii;jillmimlliUi!lim!;lUIJlml~IMm!rdiUJimIIUlg91i1iWBillmillHi~ilm=mlmilllllmlilUUi.'iiminC~mli~lmUWlllrnIUIUilmlllillIIlUi:UiiiUW~lm~IIIJfIWliilf'~mlml~mJU"I;iilmU;l~mliiU~li~miliUmUmil <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 contrac~or) or Povver of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Add ress <br /> <br />License # <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br /> <br />~I~HN~~URE ~~c:.~ ~" <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <br /> <br />~~o~ <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br /> <br />AlC Fences (Plot/Survey/Footage) <br /> <br />s-Not over Counter if on public roadways.. needs ROW <br />