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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Deparlment <br /> <br />Fax-813- 780-0021 <br /> <br /> <br />Dale Received <br /> <br />Owner Phona Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I- <br /> <br />I~IS" fALL Bt..V~" Lfffl'1~ IllS, fL 135"~J.- - j4hLJ I LOU I <br />I I PARCELID#IID-d~-J-\-C()d{)-OOOO':-- 0090 <br />(OBTAlNEO FROM PROPERTY TAX NOlICEI <br /> <br />E3 <br />o <br />o <br />~6 <br /> <br />SUBDIVISION <br /> <br />DESCRlPnON OF WORK <br /> <br /> <br />NEW CONSTR <br />INSTAlL <br />SFR <br />BLOCK <br /> <br />ADDlAL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />SIGN <br /> <br />MOVE <br /> <br />o <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />f.5~ .tSC> <br /> <br />BUILDING SIZE <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />141 <br />I <br /> <br />~ .).,/) ~t'I<")l \~. c'-'-- . -. LJ4-\I.? <br />VAlUATION OF TOTAl CONSTRUCTION I~'" ()'"'\e~hn.\;\I.:Y~;} ~v FDE:.P <br />AMP SERVICE 0 PROG~SS. ~NERGY .LJ W.RE.C.. , <br />- t~~ CtQC\ l!2\. ~ .~ <C4'-\:5 <br /> <br />D BUILDING IS <br />D ELECTRICAL IS <br />D PLUMBING IS <br />D MECHANICAl IS <br />D GAS 0 <br />FINISHEO flOOR ELEVATIONS I <br /> <br />VALUATION OF MECHANICAl INSTAlLATION <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />lt~1Po(1J\f-..~ (Fr~~ -Nt ~\)bQ) VAlJJM(".J <br />[ZJNO As <br /> <br />SPECiAlTY 0 OTHER <br />FLOOD ZONE AREA DYES <br /> <br />BUILDER <br />SIGNATURE <br /> <br />'~n~.~ <br />_~'l>- \ \~~ '\ <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br /> <br />OTHER I <br />SIGNATURE <br />Address <br /> <br /> License # <br />~ FEE CURRENT l.!!!U <br /> License # <br />~ FEE CURRENT lYL!U <br /> License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ FEE CURRENT l.!!!U <br /> <br />Lk>>nse# I I (~) <br />l,v~ CPrJ">fltllCnOrl ~",tif~.I'I\tc:.. <br />Y I N FEE CURRENT ~ <br />License # I I <br /> <br />~/--- <br />_ J "~-I ) <br />'-/ <br /> <br />COMPANY <br />REGISTERED <br /> <br />RESIDENnAL <br />COMMERCIAL,*- <br /> <br />Attach (2) Plot Plans; (2) 8818 of Building Plans; (1) set of Energy FOII1\s <br />Minimum len (10) WOlk/ng days allar eubmlUaI date. Required onslle, Consltudion Plans, Sanllary Fecllities & 1 dumpster <br />Alt8ch (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days aller eubmiUal dele. Required ooslle, Consltudion Plans, Sanitary Fecllities & 1 dumpster <br />All COfM1llrdal requirements must meel oompHance. <br />AUach (2) ..18 of Engineered Plans. <br />...PROPERTY SURVEY required for all NEW oonsltudion. <br /> <br />SIGN PERMIT <br /> <br />Dlrecllons: <br />Fill out appllc:etion completely. <br />Owner & Conlrac:tor sign beck of eppllcallon, notarized <br />If over $2500, a Notice of Commencement Is rsqulred. (AlC upgrade. over $80001 <br />.. Agent (for the oonlrac:tor) or Power 01 Attorney (for the owner) would be someone with notarized 'eUer from owner authorizing sarna <br />OVER THE COUNTER PERMlrnNG (Front of Application Only) <br />Reroofs Sewers Servi<:e Upgrades AlC Fences (PloIISurveylFootsge) <br /> <br />Drlvewaya-Not over Counter lIon public roadways..needs ROW <br />