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<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 />/YJ L L go;::; <br />1./.6' Cl r Ale-KT/f !A-K'f <br /> <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />L}/L <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address I <br /> <br />I tto 9 A/,ov-j ~~:- LJ/L I LOT# I <br /> <br />I<;I/vc.~ CJ/:1,LJ I PARCELID#I 03/Ue-2.(-OISO~()0cXD....OO3-a <br /> <br />D NEWCONSTR r=J ADD/ALT D <br />D INSTALL D REPAIR <br /> <br />PROPOSED USE D SFR D COMM D <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D <br /> <br />DESCRIPTION OF WORK I L ~ L II 2,4 r ,;1 (/ ~-? .e? <br /> <br />BUILDING SIZE I I SQ FOOTAGE I ' HEIGHT I <br />TTfTTT' 1111' '11111" 11111111111'.111111111111111' '1111111' 11111111111111111111111111111' 11111' 11111" 111111" 1111' '1111" 1111' 11111'" 1111111111.1 <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />OTHER <br />STEEL <br /> <br />~ECHANICAL <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ 3 ~,tJ{1 CO <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES <br /> <br />11I111111111111111111111111111111111111111111111111111111111111111111I1I11111111111111111I11111I11111111111111111111111111111111111111111111111111 <br />I <br />I <br />I <br />I <br />I <br />I <br />.I~t. I <br />I <br />I <br />I <br /> <br />D <br /> <br />D <br />D <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.REC, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />, <br /> <br />PLUMBING <br /> <br />~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL ! <br />SIGNATURE . <br /> <br />Address <br /> <br />OTHER I <br />SIGNATURE <br /> <br />I <br /> <br />License # <br /> <br />o/d~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />!dAtU ~ r?~A"'" 61'/J e.A/C <br />I C(J N 'I '" FEE CURRENT I ~/ N I <br /> <br />License # I c~ L C l./ S 9' Y ~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Di~~~ti~~~I: . I . . . . I I I I I I I I . . . . . I I I I . I I I . I . . . I . I . . I . I I . I I I . . . I I I I I . I . I . I . . . . I . . I I I . . . I . I . . . I . . . . . I . I I . . . I . . I . I I I . . I . . . I I I I I . . . . I I I I I I I . I . . I I . . . . . . . . <br /> <br />Fill out 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 Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways"needs ROW <br />