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<br />I <br /> <br />Fee Simple Titleho~der Address <br /> <br />JOB ADDRESS I I 3Sln t./(. 6'~ FA~r; ZEf1-Nfl-IJILLS ,.A- 33sz1.;t.1 LOT# I /1 <br /> <br />I~'H. &tJft u r.'v ,; fJ If r " I PARCEL ID# I O).-.l' - "" I - 00 [If - oor:;eJC) - CI! lo <br />(OBTAINED FROI\II PROPERTY TAX NOTICE) <br />~ ADD/ALT D SIGN D MOVE D <br />U REPAIR <br />D COMM D <br />D FRAME D <br /> <br />{(cpo P t AJi <br /> <br />813-78~-od20 <br /> <br />Date Receive~ <br /> <br /> <br />Owner\s Name <br /> <br />Owner's Address <br /> <br />Fee Simple Tltleho der Name <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSE <br /> <br />~( <br /> <br /> <br />PROPOSED USE <br />TYPE OF CONSTR <br /> <br />DESCRIPTION OF <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />1,-2-'7,-D <br />ISrANT <br />JSs~1 <br /> <br /> <br />~./(. ~)( <br /> <br />tEAsT a <br /> <br />Owner Phone Number <br /> <br />Ii ~p~ne Number I <br />j <br />Owner Phone Number I <br /> <br />B <br />D <br />D <br />I t:.A AHa E <br /> <br />DEMOLISH <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />D <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <br /> <br />.JeC18 # <br /> <br />u PfJ~t?, <br /> <br />s fb r I1-J-E" <br />I <br /> <br />BUILDING SIZE <br /> <br />SQ FOOTAGE I <br /> <br />HEIGHT <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />FINISHED FLOOR LEVATIONS I <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required 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 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 />G <br />D <br />d MECHAN CAL <br /> <br />D GAS <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 />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE D PROGRESS E. NERGY D W. .R.E.C; <br />~( ~ k e kef- cM.1--S f>;.d-~ I @ (pi ~ " <br />f1C~ftf.)o'~.(1'-5 ''1 'l ~~,jJ <br /> <br />VALUATION OF MECHANICAL INSTALLATION lM..I:i ~~' ~~'~., V ~ <br /> <br />SPECIALTY D OTHER IV \J <br />FLOOD ZONE AREA DYES ~o ~ <br /> <br />1$ c;< 00, OOCJ. <br />1$ <br />1$ <br />1$ <br />o ROOFING <br /> <br />00 <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # <br /> <br />lEe -660J.57() <br /> <br />YI N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # I <br /> <br />~4;1..e~ / ~A,v[ h.&J~ eAk ./' <br />ICY) N I FEE CURRENT r01' IN I <br /> <br />License # I CIl C-o Y:5 / L/ f? <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br /> <br />Directions: <br />Fill out applicati n completely. <br />Owner & Contr ctor sign back of application, notarized <br />If over $2500, Notice of Commencement Is required. (AlC upgrades over $5000) <br /> <br />Agent (for the c ntractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNT R PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades Ale Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />