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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 />~~ <br />ClcPO <br />I <br /> <br />Oate Received I Z I \ ~ 10<.0 <br />Own8l!'sName.5' IIv1 <br />owne~s Address l'l1/0 /5.1.5[;/tIIt~""~A IILllfJ gin Il-t 7lJirN/I <br />FnSI~Ple Titleholder Nama I CJ't)w IV CA"~ r J.E.. ,; r 't~ iJ. (., I <br /> <br /> <br />Owner Phone Number I <br />I <br /> <br />Owner <br /> <br /> <br /> <br />/1c htl <br /> <br />Ben Tucker <br /> <br />Cell: 407-446-1149 Voice I Fax: 407-774-8849 ~ <br />Spe. Cia. lizlng in Land and Right-of-Way Issues, Zoning, and Permltti.ng <br />. ... For the Communication and Utility Zndustry . .. <br /> <br /> <br />Q.~) Ben@BenTuCker.com <br />P.O. Box916036,longWOOd, Fl32791-6036 RIALTOR' <br />FL Licenae # BK"() 1805 12 <br /> <br />o <br /> <br />o <br />o <br />0: <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION .J /0 tk9tY, ~ <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />CJ <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />WR.E.C. <br /> <br />PLUMBING <br /> <br />DVES <br /> <br />ONO <br /> <br />~c.- Copy WI''' <br />b('\ OS Of'lS Q <br />p~ p]o <br />5v..'oCC-'O.~ \.:11l.b Kc\ <br />lP,~_ <:illL ~ <br />.~/ <br />1'/ <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 <br /> <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br /> Ucen.... # lEt Pf>>C';-t tr I <br /> /1/111- COMPANY J <br /> REGISTERED V/N FEE CURRENT L:!..!.!:!..J <br />Ad,... Licen... # I <br />MecHtNICAL I ~/;Y COMPANY I <br />SION'" URE REGISTERED V/N FEE CURRENT I Y/N I <br />A~d_S I Ucen.... # I <br />OTHE I r//I+ COMPANY I <br />SIGHA URE REGISTERED V/N FEE CURRENT L:!..!.!:!..J <br />A dress I Ucense # I <br /> <br /> <br />BUILO R <br />SIONA URE <br /> <br />A dross <br /> <br />REStD NTlAL Attach (2) PIct Plans; (2) sets of Building Plans; (1) Nt of Energy Forms <br />Minimum ten (10) working day&. alter submittal date. Required onsile, Construction Plans. Sanitary Facilities & 1 dumpster <br />COMM RCIAL Attach (3) lets of Building Plans; (1) Nt of El\efgy Forma. <br />Minimum ten (10) wotklng days alter aubrnlUal date. Required onsile, Conatruetion Plans, Sani1ary Facilities & 1 dumpster <br />All commercial requil'1l/nents must meet compliance. <br />Allach (2) ..ts of engineered Plans <br /> <br />Dlrectl s: '"'"PROPERTY SURVEY AOqUlfed for all NEW construcllon p ~ <br /> <br /> <br />Fi out appliClltion oompllltety. <br />o & Contract.or IIign back of application, notallzed V <br />If wr S2tltlO, a Notice of Commencement Is required. iAIC upunldea over $1lOOO) , ~l 1 \ <br />t (for the con1ractDr) or P~r of Attorney (for the owner) would be someone with notanzed Jetter from owner authonzlllg D t t>>At <br /> <br />E COUNTER PERMITTING (Front of Applicabon Only) . ,;) . ~t <br />Sewers Service Upgrades AJC Fences (Plot/Survey/Footage) ~t {T. {Q <br /> <br /> <br />, : -Vii ~ <br /> <br /> <br />