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<br />fi13-780-OO20 <br /> <br />Dat~ Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee SImple Titleholder Name I <br /> <br />WORK PROPOSED' <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF ~ORK <br /> <br />I <br /> <br />BUILDING SIZE <br /> <br />~ <br />~ <br />[;%J <br />~ <br /> <br />BUILDINq <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br /> <br />E1 <br />o <br />[g <br />I~ <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br />BLOCK <br /> <br />u.t'\: ..4. <br /> <br />\OI.V^ ~".,eJ <br />SQ FOOTAGE I K 12.. ~ <br /> <br />1$ <br />1$ <br />1$ <br />1$ <br />D GAS ;tJ <br /> <br />FINISHED FLOOR E~EVATIONS I <br /> <br />Fee SImple lltlehO~er Address I <br /> <br />JOB ADDRESS 1lp]4'-t e)(:X..l~u.Yb06 eM. - 1.0-\. 40 LOT. I <br /> <br />SUBDIVISION lb,,; +}WODd Ph-cSt' JC I PARCELlDtlI 02 ~ 2.<.. ~ ~ 1- 00 I 0- () ;2. gOo - 00(0 <br />(OBTAINED FROII PROPERTY TAX NonCEI <br />B ADDfALT SIGN D MOVE D <br />REPAIR <br />D COMM <br />D FRAME <br /> <br />E:LECTRId:AL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />DEMOLISH <br /> <br />OTHER <br /> <br />STEEL <br /> <br /> <br />OTHER I <br /> <br />~ <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />!--bC- _ <br />fA a.. -\t- _ <br />E\ec\. Sub <br />~~\ CQ\Cs. <br /> <br />VALUA liON OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />~NO <br /> <br /> <br />ttach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns <br />inimum ten (10) working days after submittal date. Required onslle, Conslruction Plans. SanitalY Facilities & 1 dumpster <br />Attach (3) sels of Building Plans; (1) set of Energy Fonns. <br />inimum ten (10) wor1l:ing days after submittal date. Required onsite, Conslruction Plans, SanllalY Facilities & 1 dumpster <br />II commercial requirements must meet compliance. <br />llach (2) sels of Engineered Plans. <br />"PROPERTY SURVEY required for all NEW conslruction. <br /> <br />BUILDER <br />SIGNATURE <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 /> <br />~JL~4t'\ ~i1Sf. , T"1 c <br />r YI N I FEECURR~NT I YfN <br /> <br />License f. I <br /> <br />So~ ~l.er 1"\ L.o"",tor.f <br />I Y f N I FEE CURRENT I Y f N <br /> <br />License f. I <br /> <br />LrLvl1'\ 4i'\ (2eoJ.'A!J.. <br />r YI N I FEECURREN'r Y/N <br /> <br />License f. I <br /> <br />Directions: , <br />Fill out apPlicatiO~ completely. <br />Owner & Contra or sign back of application. notarized <br />If over $2500, a otic. of Commencement Is requIred. (AlC upgrades over $5000) <br /> <br />Agent (lor the co tractor) or Power of Attorney (for Ihe owner) would be someone with nolarized letter from owner authorizing same <br /> <br />OVER THE COUNTE PERMITTING (Front of Application Only) <br />Reroofs ewers Service Upgrades NC Fences (PlotlSurveyfFootage) <br /> <br />Driveways-Not 0 er Counter if on public roadways..needs ROW <br />