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<br />Date Received <br />. <br />*_t\itli1m~rrVrJ:1 <br /> <br />City of Zephyrhills Permit Application Fax-813-780~1 -'1,'fJ /' 11/3 <br />Building Department W flJD7 <br /> <br />PhoneContactforpermittin.9 fmI. ~. YS/V m,103! <br />'vm:~=:::r8L~_~7'7#~l <br /> <br />Owner Phone Number t~~) &f5 - '7'7'1Lf I <br />Owner Phone Number r&tq) ggS . 7? # I <br /> <br /> <br />Fee Simple Titleholder Address I I <br /> <br /> <br />~o~~~~~ Lrop .1 CO" If~L3 1 <br />s': fell .. '. Me PARCELID#l.Qg- 2l.f-'L I -oov:o-a.Y300-QI2.01 <br /> <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br /> <br />IS2] NEW CONSTR E3 ADDIAL T D SIGN D MOVE D <br />r:::9 INSTALL REPAIR <br /> <br />PROPOSED USE I;8l SFR D COMM D <br /> <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D <br /> <br />Ilfl~(}1J Irfi~O() <br /> <br />I SQ FOOTAGE I <br /> <br /> <br />[3Lt3:l (Jv/1uroati.lli...l2Ut1812 f05d <br />I <br /> <br />~ <br />813-780-0020 <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />.IKl <br /> <br />OTHER I /trr{~M;Ov1 <br /> <br />DESCRIPTION OF WORK <br /> <br />D <br /> <br />D <br />tg} <br /> <br />1$ I <br />1$ I <br />1$ I DCfJ./ I <br /> <br />D MECHANICAL 1$ I <br /> <br />D GAS D ROOFING D SPECIALTY ~ OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />_@lWI!lllltlJlft_Ht@Mlllllmiffllilllll@Ht!ll!Jl__@tftHitHf@J1llllmfl'li@tmi@l'l!IiflW1l!ll%l!!Ilffi@!'!!!WMlllimltfllil@ffee_.--Illlt_lIf11l1rn1ll_ <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PLUMBING <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />COMPANY <br />REGISTERED <br /> <br />I <br />I <br />I <br /> <br /> <br />License # I I <br /> <br />'Jh.rPrlJou) ~((ntb-l5 b1d <br /> <br />~ FEE CURRENT ~ <br /> <br />License # I I <br /> <br />I <br />I <br />I <br />I <br /> <br />BUILDER <br />SIGNATURE <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Address I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />U.!...!::!....J <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />PLUMBER <br />SIGNATURE <br /> <br /> <br />COMPANY <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />U.!...!::!....J <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address License # <br />'tMllli__WilirflfutlWMi_llllttllllttfmWrn1llt!!1!lW!_rJit!!W_llt!Jlfnrn1llrn1llfliltJ1l!Ul!!lllil_ii!JltIWffflmi!!*f_rn1llfltt_rM'.l!Illlt!lllfrfttlftllllt__1Mllli <br />RESIDENTIAL 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 />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement is required. (Ale upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attomey (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 AlC Fences (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadwaysuneeds ROW <br />