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<br />813-780-0@20 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Tltlehol4ler Name I <br />I <br /> <br />Fee SImple TltlehO,er Address I <br /> <br />I (O'l4-~ ~.-ou& <br />lbl'; +}W0.0d Pkcse JC <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />. Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />(I u.. - ~ J.f\ LOT' I <br /> <br />PARCELIDlI 02 ~l(.,'-1.I-oOIO- O:1.g0o-ooI0 <br />COSTAINED FROII PROPERTY TAX NOnCE) <br />SIGN D MOVE D <br /> <br />SUBDIVISION <br /> <br />I <br />B <br />D <br />D <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />WORK PROPOSED <br /> <br />E:1 <br />D <br />~ <br />I~ <br /> <br />u"': ..\. <br /> <br />To \.VA 1-\v"'1 e J <br />sa FOOTAGE I K 12. ~ <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br />BLOCK <br /> <br />PROPOSED USE ; <br />TYPE OF CONSTR~CTION <br /> <br />DESCRIPTION OF RK <br /> <br />BUILDING SIZE <br /> <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />OTHER <br /> <br />STEEL <br /> <br /> <br />OTHER I <br /> <br />~ BUILDIN 1$ I VALUATION OF TOTAL CONSTRUCTION <br />ELECTRI~AL <br />~ 1$ I AMP SERVICE ~ PROGRESS ENERGY D WR.E.C. <br /> t--X:>C- _ <br />0S1 PLUMBINt 1$ I (:\ a.. -t\- - <br />~ MECHANI AL 1$ I VALUATION OF MECHANICAL INSTALLATION e(ec\-_ 'Sub <br /> ~~, CQSC5 <br />0 GAS )t:J ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR E EVATIONS I I FLOOD ZONE AREA DYES ~NO <br /> <br />SCh~ \--l.e/' 1'\ LO"'l'\tor f <br />I Y I N I FEE CURRENT I Y I N <br /> <br />License' I <br /> <br />COMPANY U-1I11'\ 4i'\ f2eoJ..'I"\~ <br />REGISTERED r Y I N I FEE CURRENt Y I N <br /> <br />ttach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns <br />IMinlmum len (10) working days after submittal date. Required onslte, Conslruction Plans, Sanitary Facilities & 1 dumpster <br />Sttach (3) sels of Building Plans; (1) set of Energy Fonns. <br />inimum ten (10) working days after submittal date. Required onslte, Conslructlon Plans, Sanitary Facilities & 1 dumpster <br />II commercial requirements must meet compliance. <br />f\ttach (2) sets of Engineered Plans. <br />i**PROPERTY SURVEY required for all NEW conslructlon. <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />~JL.",,"~'" Lo"sf., T,., c. <br />r YI N I FEECURRENT I Y/N <br />License ,. I <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License ,. <br /> <br />~~~: , <br /> <br />vJ;\ \,'a"", S <br />FEE CURRENT I Y I N <br /> <br />License ,. <br /> <br />License ,. <br /> <br />Directions: <br />Fill out applicali completely. <br />Owner & Contra or sign back of application, ndtarized <br />If over $2600, a otic. of Commencement Is requIred. (AlC upgredes over $60001 <br /> <br />Agent (for the co tractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same. <br /> <br />OVER THE COUNTE PERMITTING (Front of Application Only) <br />Reroofs ewers Service Upgrades AlC <br /> <br />Driveways-Not er Counler if on public roadways..needs ROW <br /> <br />Fences (PloUSurveylFootage) <br />