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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building 0epa1ment <br /> <br />Fax-813-780-0021 <br /> <br />-- ~ ! ---..~~~~ <br />OWner'sNsme - ~~aPJ: rl!9.N ..I19y ~. OwMrPhoneNumber ~ - 7'1- 7(". 7 <br />ot-"SA~ 13~30:3 ~ l1Ve I OwMrPhoneNumber I <br />~ SImple TItleholder Name I I 0wMr Phone Nwnber I <br /> <br /> <br />F+ Simple Titleholder Add..... I <br /> <br />16~30.3 11()~ AUF: . Zt:;~2J.J.IU <... ) 1-(. <br /> <br />I I PARCEL IDIJ I <br />(OBTAINED F_ PROPERTY TAX NOllCE) <br />o NEW CONSTR DADO/AU D SIGN D MOVE D <br />ll2:r INSTALL D REPAIR <br />D SFR 0 COMM D OTHER <br />D BLOCK 0 FRAME D STEEL D OTHER I <br /> <br />b.""u &>o1Ull/.. f/RPL .I!LF. S.PVI<":-b&,,," <Yf"'~ff1 <br /> <br />I sa FOOTAGE I I HEIGHT L J <br /> <br />LOT' I <br /> <br />DEMOLISH <br /> <br />BUILDING 1$ I <br />ELECTRICAL 1$ I <br />PLUMBING 1$ I <br />MECHANICAL 1$ /5"aO.. 00 I <br /> D ROOFING 0 <br /> I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />o W.RE.c. <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />License # I I <br />IS~~y L~TE~t!!:ff!.JAlf c~ <br /> <br />- .:s~:;-:Z..3 Lk:ense# I 'SOZ ""s:.,..(oooc:eoo~ <br /> <br />Allach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum lBn (10) working days &IIer submittal dale. Required onsne. Construction Plans. Sanitary FaciHties & 1 dumpster <br />Allach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum lBn (10) worIdng days &IIer submittal date. Required onsite, Construction Plans. SanitaIy FacIllIies & 1 dumpster <br />AI COIT1IYIllfdaI ~ must ~ <XlrI1pliance. <br />Attach (2) sets of ~ Plans. <br />~~PROPERTY SURVEY required for all NEW construction. <br /> <br />s: <br />Fill out appHcallon completely. <br />Owr.- & Contractor sign beck of application, notartzed <br />If owr $21500, . NotIce of C_t Is required. (AIC upgrades _ $SOOOI <br />~ Agent (for the conIractor) Of" Power of AIIDmey (for the owner) would be someone wfth ootarized letter from owner aulhorizlng same <br />THE COUNTER PERMm1NG (Front of Application Only) <br />Reroofs Sewers SeMce Upgrades NC Fences (PIolISutveylFoolage) <br /> <br />~ ~ Counlet II on public rnedways..MOOs ROW <br />