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<br />Date Received a _ <br /> <br /> <br />Owner's Name Ad ve /1n ~ + J...I e a H-h <br />Owner's Address 170506Ctll bIrd <br />Fee Simple Titleholder Name 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 />Owner Phone Number I g I <br /> <br />Owner Phone Number I <br /> <br />~ <br />::::>- <br /> <br />Fee Simple Titleholder Address 1 <br /> <br />1'050 60.. il <br />IF/aI" ou <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 />l3/vd <br /> <br />t+o~~ i+r-t/I <br /> <br />B <br />D <br />D BLOCK D FRAME D <br />IRep~ n02;2-Ic~ ..f(y. A f1,stJ' <br /> <br />I SQ FOOTAGE I I <br /> <br />- rY)CL/rJ '<'t1c~n <br /> <br />PARCELlD#13s'2S-21'CX)IO' /05C(). <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />LOT # <br /> <br />B <br />D <br /> <br />~ <br /> <br />DEMOLISH <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />D <br /> <br />ADD/AL T <br />REPAIR <br /> <br />MOVE D <br /> <br />SIGN <br /> <br />SFR <br /> <br />o <br /> <br />I <br />o <br /> <br />..<.. <.J ~ k-(Yj <br /> <br />HEIGHT I <br /> <br />COMM <br /> <br />OTHER <br /> <br />I <br />I <br />(~.cJ ~h~,i) <J-{j adl qos <br />I lra.lv-e.'~ <br />a u..:J-D <br />~w-()Il <br /> <br />OTHER I <br /> <br />STEEL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />rtJ MECHANICAL <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ i5m .CO <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />SPECIALTY ~ OTHER F'r-t ~.nf'lY) <br />FLOOD ZONE AREA DYES DNo <br /> <br />D <br /> <br />AMP SERVICE <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D <br />~. C1 h len <br />~ClRC\ U'0\1l2. S\<("l"' <br /> <br />PROGRESS ENERGY <br /> <br />w.R.E.C. <br /> <br />ROOFING <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />Add ress <br /> <br />License # <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 />~I~HN~~URE b/1.Lt-UU ~(/lrW I <br />Address I iPl: 57 OJ flu Uj ..30 I -Rl Y( me.w iK <br /> <br /> <br />AlIach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submillal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />AlIach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submillal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />AlIach (2) sets of Engineered Plans. <br />---PROPERTY SURVEY required for all NEW construction. <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <br /> <br />COMPANY <br /> <br />~ <br /> <br />~ <br /> <br />REGISTERED <br /> <br />FEE CURRENT <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />COMPANY <br /> <br />REGISTERED <br /> <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. (A/C 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 Ale <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (Plot/Survey/Footage) <br />