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<br /> <br />813-780-0020 <br /> <br />Fax-813-780-0021 JP- iptf'U1 <br /> <br /> <br />Gt/./7 Illl~ <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br /> <br />Owner Phone Number <br /> <br />Ower'sAddress I "aJ,t.l. W~I+SJwI'G. .Blvd -:#-<fOO ~erPhOneNUmber I <br /> <br />Imple Titleholder Name I I Owner Phone Number I <br /> <br /> <br />BUI DING SIZE <br />0 BUILDING 1$ <br />0 ELECTRICAL 1$ <br />0 PLUMBING 1$ <br />0 MECHANICAL 1$ <br />D GAS 0 <br />FINI HED FLOOR ELEVATIONS I <br /> <br />BUlL ER <br /> <br />110300 L-.~//y <br /> <br />Gile./lJ PAri' I <br /> <br />J')t, NEW CONSTR Cl <br />t=j INSTALL D <br />DSFR D <br />o BLOCK D <br />( <br /> <br />L,::. Aot. LOT # <br /> <br />PARCELlD#11)3-.,21t, -,;)1- DCJ.30-0C7W-OOOO <br />lOST_ED FROM PROPERTY TAX NOTICE) <br /> <br />o <br /> <br />ADDIAL T <br />REPAIR <br /> <br />COMM <br /> <br />FRAME <br /> <br />MOVE 0 <br /> <br />SIGN <br /> <br />DEMOLISH <br /> <br />I....... <br /> <br /> <br />s"'"",.....""".~ P~c.,; <br />OTHER I <br /> <br />SQ FOOTAGE <br /> <br />HEIGHT <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />w:y <br />tJO L <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />COMPANY <br />REGISTERED <br /> <br />5/ 2... .~.) <br /> <br />~~E&!: "'Jjjea kc./ ~ <br /> <br />License # I ~ o370L/ I I "$::; v~" <br />EC'1300J~8G .\~b. <br /> <br />FEE CURRENT Y I N ~ <br /> <br />I <br />I 35~<C)o' <br />I <br />I <br />I <br />I <br />I <br /> <br />License # IfC'. 1300 I cg8~ <br />I II.L'/-"UVAI Pcvi~ ~I f6.sw ~. <br />LY I N -.J FEE CURRENT ~ <br />License # I e.Pt 03?tJY/ <br /> <br />lo~ft fbr+ e..~ ~l <br /> <br />jb73 I <br /> <br /> <br />COMPANY <br />REGISTEREO <br /> <br />I <br /> <br />License # <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />L:!:i!:U <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns <br />Minimum ten (10) wor1dng days after submittal date. Required onsita, Construction Plans. Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Fonns. <br />Minimum ten (10) working days after 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 />Dlrectl ns: <br />Fi out application completely. <br />er & Contractor sign back of application, notarized <br />ver $2500. a Notice of Commencement Is required. (AlC upgrades over $5000) <br /> <br />t (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />HE COUNTER PERMITT1NG (Front of Application Only) <br />Sewers Service Upgrades AlC Fences (PIotISurveylFootage) <br /> <br />Dr veways-Not over Counter if on public roadwar,;..1Weds ROW <br />