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<br />I I <br /> <br />SUBDIVISION <br /> <br />14tL'l3 <br />I <br /> <br /> <br />Owner Phon umber 13 - ~ t') cp - q bG </ <br />Owner Ph~e~~'er I ~l 3 - 11 y~. ') -:1.1 Y I <br />Owne' Phone Numbe' I 'is'l3 - 3 '15"-0 ~ ~l <br /> <br />~ t-r e.d-- 'L-{-t.c:H s "5 ~ S1t2. LOT # I I <br /> <br />( <br /> <br />PARCEL 10,1 I <br />(qSTAINED FROII PROPERTY TAX NOTICE) <br />AD DIAL T 0 SIGN D MOVE D DEMOLISH <br />REPAIR <br /> <br /> <br />. 813-7'30.0020 <br /> <br />City of Zephyrhills Permit Applic,ation <br />Building Department <br /> <br />Date Received <br /> <br /> <br />/' Owner's Name <br /> <br />/ awne'eAdd,e'f ~ <br /> <br />' Fee Simple Title' older ~amel <br /> <br /> <br />Fee Simple 1IUe olde, Add.... ',- <br /> <br />/ JOB ADDRESS <br /> <br />/0 <br /> <br /> <br />PROPOSED US <br />TYPE OF CONS RUCTION <br /> <br />~UILDlNG SIZE <br /> <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />WORK PROPOS <br /> <br />/ DESCRIPTION WORK <br /> <br />G <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />0 ELEC RICAL <br />0 PLUM ING <br />D MECH NICAL <br />0 GAS <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Y/N <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Address <br /> <br />ELECTRICIAN <br />SI~NA TURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Ad~ress <br /> <br /> <br />YIN <br /> <br />, Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days atter submittal date. Requh'ed 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 atter 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 /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out appll tion completely. <br />Owner & Co tractor sign back of application. notarized <br />If over $250 . a Notice of Commencement Is required. (AlC upgrades over $5000) <br /> <br />.., Agent (for th contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing salTlIJ' <br /> <br />OVER THE COU TER PERMITTING (Front of Application Only) <br />. Reroofs Sewers Service Upgrades NC Driveways <br /> <br />