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<br />Date Received 2. 3- 0 <br /> <br />Owner's Name S t:.A- U \~ L,..~ h,l uS <br />Owner's Address I 'S ~ '31 Bt.v~ ~ ( ~R'f-tAou hi. t <br />Fee Simple Titleholder Name I I <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />l/(.,(. <br />I <br />I <br />I <br />I <br />I <br /> <br />Fee Simple Titleholder Address I <br /> <br />1'14 'l. '2. <> AU.. <br />I <br /> <br />D NEW CONSTR ~ ADD/ALT D <br />D INSTALL t=J REPAIR <br />PROPOSED USE D SFR [d- COMM D <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D <br /> <br />I {.\.w:.O "1""~ Jo.1 7"'1> ~ \1\. <; vs. T"i..f"oo\ . <br /> <br />I SQ FOOTAGE I I <br /> <br />1$2L.t ~'\- I <br />1$ I <br />1$ I <br />1$ I <br />D GAS D ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />Cj BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />~LV':) <br /> <br />LOT# <br /> <br />PARCELlD# I <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SIGN <br /> <br />D <br /> <br />DEMOLISH <br /> <br />MOVE D <br /> <br />OTHER <br /> <br />I <br />D <br /> <br />STEEL <br /> <br />OTHER I <br /> <br />HEIGHT <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Nut; <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />BUILDER COMPANY <br />SIGNATURE REGISTERED <br />Address <br />ELECTRICIAN I COMPANY <br />SIGNATURE REGISTERED <br />Add ress I <br />PLUMBER I COMPANY <br />SIGNATURE REGISTERED <br />Address I <br /> <br />U'!..!:!....J FEE CURRENT ~ <br /> License # <br />U'!..!:!....J FEE CURRENT ~ <br /> License # <br />U'!..!:!....J FEE CURRENT ~ <br /> License # <br />U'!..!:!....J FEE CURRENT ~ <br /> License # <br /> FEE CURRENT <br /> License # I 6'F()[)D (211 <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address I <br /> <br />OTHER I 'l () ~ 1"'\ - I <br />SIGNATURE V~~ <br />Address 1l..f7 0 I O~+Cti~ 0\ V V --rc~ 33~(6 <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <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 />m*PROPERTY SURVEY required for all NEW construction, <br /> <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 PERMITIING (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 (PloUSurvey/Footage) <br />