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<br />Fee Simple Titleh Ider Address I <br /> <br />I :3t1lob NA1Jcfl.. h~. 2eA-t-v(.L.H/C.L.S FL- "'3'3542- LOT # <br /> <br />12e-Ph'lR-.tfGt'7k~ ,l/~I PARCELlD#112 - L~ -21 - 6D5~-> aCoc.:.o.. ODE::JO <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />813-7kO-r020 <br /> <br /> <br />Date Received <br /> <br />3-2-/-0 '7 <br />~6/l..ItH A. <br /> <br />.........1 <br /> <br />A r'lke5 <br />}.l If- AiolL <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />D~lva 2ey>~yllh~/(!;. <br /> <br />Owner Phone Number B r .-78e - 8'77 <br />Ph N b I .r'l""; "180- B 177 <br />Owner one um er 1:7 ? <br />Owner Phone Number I <br /> <br />~ <br />D <br />D <br />C?1tfL~;Z fo <br /> <br />SQ FOOTAGE I <br /> <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 />WORK PROPOSE <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />PROPOSED USE <br />TYPE OF CONST <br /> <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />[R] <br /> <br /> <br />rr~ <br />1'-+ 5'C.o - <br />I <br /> <br />1$ <br />1$ <br />1$ <br />1$ <br />D <br /> <br />D <br />D <br /> <br />D <br /> <br />D <br /> <br />GAS <br /> <br />ROOFING <br /> <br />FINISHED FLOOR LEVATiONS I <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 />D <br /> <br />D OTHER <br />D STEEL D <br /> <br /><:.. .r~ c.2 1:f..~ <br /> <br />I HEIGHT I I ~.; f::t <br /> <br />DEMOLISH <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />OTHER I <br /> <br />~s <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D <br />.u.t>5 ~~'~ <br />5 ~.\ 5 b.-k - t)~ <br />CJ."'^' 1 2.0 . <br />~()~ <br /> <br />AMP SERViCE <br /> <br />PROGRESS ENERGY <br /> <br />W.R.E.C. <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES DNO <br /> <br />COMPANY <br />REGISTERED <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />I CI7~-J'i}~l}Z2. <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br /> <br />Directions: <br />Fill out applicati n completely. <br />Owner & Contra tor sign back of application, notarized <br />If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) <br /> <br />Agent (for the tractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNT PERMITTING (Front of Application Only) <br />Reroofs ewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br />