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<br />813-780-0020 <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />EL6E}ZT <br />I 38Dl <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br />~)"'{l,:> ( <br /> <br />Fax-813-780-0021 <br /> <br />(o-5-D <br /> <br /> <br /> <br />(LA. <br /> <br />C /D S Vv't:C7f}1l. '/ 5uPEi?, <br /> <br />SU6Ait ?AL;e..t DR 336, q <br />I <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />kJJA. <br /> <br />I <br />I <br />I <br />I <br />34.. ;).5 3-1 .. (:CeO-I <br />003C0. C:D:k> <br />DEMOLISH <br /> <br />Fee Simple Titleholder Address I Iv / 1\ <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />IT] BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />7~5 <br /> <br />G^LL <br /> <br />LOT # <br /> <br />BLVv <br />) <br />I <br />B <br />D <br />D <br /> <br />13SLll <br />PARCEL 10# I <br /> <br />~6DO ~((JOQ <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />B <br />D <br />D <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br /> <br />BLOCK <br /> <br /> <br />ADD/AL T <br />REPAIR <br /> <br />COMM <br />FRAME <br /> <br />D <br /> <br />MOVE D <br /> <br />SIGN <br /> <br />OTHER I <br />o OTHER I <br /> <br />(L S2i~.,.J <br /> <br />HEIGHT I <br /> <br /> <br />CtJAIJA./GL L '= llbR.-5 <br /> <br />'W~1.L- <br />I <br /> <br />LL <br /> <br />sa FOOTAGE <br /> <br />$3/zl.ou <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />1$ <br />1$ <br />1$ <br />D <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />I <br />I <br />I <br />D <br />I <br /> <br />DNO <br /> <br />D <br /> <br />AMP SERVICE <br /> <br />PROGRESS ENERGY <br /> <br />D W.R.E.C. <br />_'/ ~cf) <br /> <br />,,\oQ.. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />IJ/A <br /> <br /> <br />License # <br /> <br />/ <br />1/;60000085 <br /> <br />COMPANY -t=~ <;',q I'.I~ ~\1\ Co .~C- <br />REGISTERED i{j:..( N I \ FEE CURRENT \ I (fj)N I <br /> <br />~ I <br />License # . <br /> <br /> <br />S J 6/V +- <br /> <br />A...- <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I J '/A <br />SIGNATURE . fV <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />t.J/! <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <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 />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />= <br /> <br />- <br /> <br />-.1 <br /> <br />III IlIIIIllIIIIlII ~ 11II ilIIIlIIIIIIIll ~tlIHL- <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC <br /> <br />Driveways-Not over Counter if on public roadways"needs ROW <br /> <br />Fences (Plot/Survey/Footage) <br />