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<br />813-780-0020 <br /> <br />Date Received <br />;tlffilf_ <br /> <br /> <br />;2/3 <br /> <br />:o~'~'!e'~.~7elQ L . - .. ,J-'16<Bf, <br />Owner Phone Number I ~6 -77W l41 <br />~Lf~ ~;tlDf\t CtJ> 8Lud &tR IDSD I OwnerPhoneNumberQ&1(~ Rf6~7?# 1 <br />I Owner Phone Numbe~~L1) gr6 ~'7 '7# I <br />I <br />I <br />1 <br /> <br />City of Zephyrhills Permit Application <br />Building Oepartment <br /> <br />Fax-813-780-0021 <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name 1 <br /> <br />Fee Simple Titleholder Address I <br /> <br /> <br />l~~ m~lrrLoop 1 '0'" 1,,13 <br />... oJ. ri ' PARCELlD#10Lf-dtQ'~J-CO"O'CD3Ci)-OIID <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />!;:]] NEW CONSTR D ADD/AL T SIGN D MOVE D <br />lZJ INSTALL D REPAIR <br /> <br />PROPOSED USE [2;j SFR D COMM <br /> <br />TYPE OF CONSTRUCTION D BLOCK D FRAME <br /> <br />T r <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />OTHER I <br />STEEL ~ <br /> <br />OTHER <br /> <br />BUILDING SIZE <br /> <br />HEIGHT I <br /> <br />;mm~I~t1m~.(t;w:mmmmmtt"atmtlmJ~t~mlJmm.1lm',mm:..t:t1.'1m~mlmt]mM;:])l~m&I~[:;a;l~mmt~'t'tl~tm(r:~m~-nmtt~tM;~wm~MI1tf<lltt-ttmmn:M~t;1m3mt"";lrnmID.WmtIWtmma::l\1~mlJntlmt~~:t~i <br /> <br />1$ 1 <br />1$ 1 <br />1$ ( CC::(). -- I <br />1$ 1 <br /> <br />D GAS D ROOFING D SPECIALTY ~ OTHER <br />FINISHED FLOOR ELEVATIONS 1 I FLOOD ZONE AREA DYES ONO <br /> <br />iiWtfOO~~~~~j!tMtf$tMtttttt~HMM~Jit1!iJn:ti!W'~!Ml~~HttttttL~t~~nMOOn)MIl~H1tHiMnW~!1)f!t!llit!:imillttwtm!f!~jffitNif!tm!11tlill~~I]Iffi~I]~' <br /> <br />D BUILDING <br />D ELECTRICAL <br />C8J PLUMBING <br />D MECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br /> <br />BUILDER COMPANY <br />SIGNATURE REGISTERED Y/ N FEE CURRENT I Y/N I <br /> License # <br /> COMPANY <br /> REGISTERED Y/N FEE CURRENT L..:!:.L.!:U <br /> <br /> License # I <br /> COMPANY [.Jfrer }lDlJ Ine . <br /> Y / N FEE CURRENT L..:!:.L.!:U <br />Address License # I <br />MECHANICAL <br />SIGNATURE Y/N FEE CURRENT L..:!:.L.!:U <br />Address License # <br />OTHER COMPANY <br />SIGNATURE REGISTERED L:!:..!....!!.. FEE CURRENT L..:!:.L.!:U <br /> <br />Address License # <br /> <br />'_l$llI\!!I%t!IU!i1!itl1'.!itt_mWt@m!!Wl%1!tlit1!i)t%!l___IWttttUWIW@!lHlltHiHilil!ltt!l!iHiHmHim!!WWWH!@HIWWltmWJl_lfffit!ili__iji)ijtHI!WttttIllmlW., <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittai date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />COMMERCIAL 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 />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....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. (Ale upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attomey (for the owner) wouid 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 (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />