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<br />813-780-0020 <br /> <br />I , <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-78D-0021 <br /> <br />Date Received <br /> <br /> <br />~M, <br /> <br />OWner phone Number <br /> <br />Owner Phone Humber I <br /> <br />Owner Phone Number I <br /> <br />OWner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />D <br />uz( <br />~ <br /> <br />Fee Simple Titleholder Address I . I <br /> <br />JOB ADDRESS 13 g '-f 3c:f 'Z; t:K ~" Z ~.~.{!Y ~.;;lQ . LOU <br /> <br />I I PARCELlD.1 II -,),/'-::J-I- Qf)/D . It? 7dO - tJ-D ~-=: <br />(OeT AlNEO FROM PROPERTY TAX NOTICE) <br />o NEW CONSTR ~ ADrJAi?'l 0 SIGN 0 MOVE D DEMOLISH <br />D .INSTALL . t=l RE~ <br />PROPOSED USE 0 SFR 0 COMM 0 OTHER I . <br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL 0 OTHER I <br /> <br />DESCRIPTION OF WORK d:9~~-~v~~~--A- &:'~C&7v-f;;:.ns~ <br /> <br />I liQ FOOTAGE I I HEIGHT I I <br /> <br />1$ ~ f()'i)l),cY01 <br />1$ I <br />1$ (of:JL>O I <br />1$ I <br />~ OOO.l>e> <br />D GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />l~fiJ~~~f(cl V <br /> <br />LIcense' I ~ /ciS' 0 91c/ <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />BUILDING SIZE <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />~ <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.< <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />tJ00 <br /> <br />BUILDER' <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />COMPANY I' <br />REGISTERED <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />LYl.!:U <br /> <br />~ / <br />Y/N ' V <br />LIcense # I e~' Jl-f ~ s: foO.:2. 1-1 <br />~h-~'~~~r(,h~ 50 '7 Ite- '\A <br />Y I N FEE CURRENT LYl.!:U ~ u..fa~ <br />LIcense' ~ fJD(f'c;t61 ~~ ' <br />~5Q) IA~ <br />er~\A b <br /> <br />PLUMBER <br />SIGNATUR <br /> <br />OTHER <br />SIGNATURE <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />LYl.!:U <br /> <br />COMMERCIAL <br /> <br />Address I LIcense' I <br />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />RESIDENTIAL Allach (2) Pial Plans; (2) sets of Building Plans; (1) sel of Energy Fonns <br />Minimum ten (10) working days after submll\al dale. Required onsile. Conslruclion Plans. Sanitary Facilities & 1 dumpster <br />Allach (3) sets of Building Plans; (1) set of Energy Foons. <br />Minimllfll len (10) worldng days after submillal dale. Required onsile, Construction Plans, Sanllary Faclllti!lS & 1 dwnpsler <br />All co!J1merc1a1 requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />".'PROPERTY SURVEY required for aU NEW conslructlon. <br />~j~~~~I~~~I:IIIIIIIIIIIIIIII' 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111: <br /> <br />Fill oul appUcation completely. <br />Owner & Conlractor sign back of appllcalion, nolarized <br />If over '2500, iI Nollce of Commencement Is required. lAIC upgrildes over $5000) <br /> <br />Agent (for the conlraclor) or Power of Attorney (for the lIIMIer) would be someone with notarized leller from owner authorizing same <br />OVER THE COUNTER PERMITTING (Front of AppUcalion Only) <br />Reroofs Sewers Service Upgrades AlC <br /> <br />SIGN PERMIT <br /> <br />Fences (PloI/Swvey/Foolage) <br /> <br />Driveways-~ot over Counter if on public roadwaysuneeds ROW <br />