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<br />813-780-0020 <br /> <br />Date Received <br /> <br /> <br />City of Zephyrhills Permit Application S <br />Building Department )ff I <br /> <br />Phone ConlBct for PermIttIng <br /> <br /> <br /> <br />Fax-813-7jlO-OO21 I ( <br />o ..)..3~ c-e. <br />70 #o~~~1ff9 <br /> <br />Own.... Add..... <br /> <br />Fee Simple TllIeholder Name I <br /> <br />59d3 <br /> <br />cL.s <br />j I/ +h S.J-r e.~.f <br /> <br />o..r- Phone Number <br />Owner Phone Number I <br /> <br />o..r- Phone Number I <br /> <br />Owner". Name <br /> <br />I <br />I <br />I <br />I'IK S frul- Z<p tr 1,; n, A 3:J~ <<>T. I I <br />I PARCEL/ON \- ~-2-I- t)DlO- 03it:.c-bbIDI <br />(OBTAINED F_ PROPERTY TAll NOTlCEI <br />D. ADD/ALT 0 SIGN 0 MOVE 0 <br />..J25k REPAIR <br />D COMM 0 OTHER <br />D FRAME 0 STEEL 0 OTHER I <br /> <br />I r^e (00+ /'1 ~f,p I-\. sh; '"loa <br /> <br />SQ FOOTAGE ~ I HEIGHT l <br /> <br />JOB ADDRESS <br /> <br />Fee Simple 11tIehofder Address I <br /> <br />: ~9d '1 <br />I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />E3 <br />o <br />o <br /> <br />NEW CONSTR <br />INSTAll <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRlPllON OF WORK <br /> <br />BUILDING SIZE <br /> <br />0 BUilDING 1$ I VAlUATION OF TOTAl CONSTRUCTION <br />0 ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY 0 w~~ <br />0 PLUMBING 1$ I filV <br />0 MECHANICAL 1$ I VAlUATION OF MECHANICAL INSTALLATION <br /> ~ 00 <br />0 GAS ROOFING 3 Ji/)'O SPECiAlTY 0 OTHER <br />FINISHED FlOOR ELEVATIONS I I FlOOD ZONE AREA DYES ~O <br /> <br />BUILDER <br />SiGNATURE <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY Itk,T ('OI1<1,<<('+ID'(\ (',,,T,J. <br />REGISTERED ~ FEE CURRENT TM:E:J <br /> <br />'Vh,lIs 335t.:t.~# I CCC.j3A7456 I <br />COMPANY I I <br />REGISTERED U!.lLJ FEE CURRENT L..!.!!!....J <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />license # <br /> <br />Addrese <br /> <br />ELECTRICIAN <br />SiGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />U!.lLJ <br /> <br />FEE CURRENT <br /> <br />Addrese <br /> <br />L..!.!!!....J <br /> <br />license # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />U!.lLJ <br /> <br />FEE CURRENT <br /> <br />L..!.!!!....J <br /> <br />Addrese <br /> <br />license # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />U!.lLJ <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br />L..!.!!!....J <br /> <br />I <br />RESIDENllAL <br /> <br />license # <br /> <br />COMMERCIAL <br /> <br />Attach (2) Plot Pla1s; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after SI.tlmittal dale. Required ons~e, Construction Plans, Sanitary Faci@es & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal dale. Required ons~e, Construction Plans, Sanitary Facil~ies & 1 dumpster <br />All commercial requirements must meet compliance. <br />AItach (2) sets of Engineered Plans. <br />--PROPERTY SURVEY required for all NEW construction. <br /> <br />SIGN PERMIT <br /> <br />Direction.: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement i. required. (AIC upgredM over $5000) <br /> <br />- Agent (for the contractor) or Power of Attorney (for the owner) would be someone w~h notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITllNG (Front of Application Only) <br />Reroofs Sewers S8lV1ce Upgrades AlC Fences (PIotISlXVeylFooiage) <br /> <br />Drlveweys-Not over Counter if on public roadways..needs ROW <br />