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<br />... ' <br /> <br />D.te Received <br /> <br /> <br /> <br />Fax-813-7BO-OO21 Jt 1 (1 D <br /> <br />Bl3-7~ <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />..,... <br /> <br />OWner"s NaIIle <br /> <br />OWn.... Add,..s 17j7 Y'? A/ 6/Q ~ FV 11'9 fA,. -;;<JmiJ::I. I <br /> <br />Fee Simple Titleholder N.mel I <br /> <br />OWner Ph_ Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple TItleholder Address I <br /> <br />I~R'/(" <br />I <br /> <br />LOT' I <br /> <br />BUILDING SIZE <br /> <br />C:;"'L..L OJ.VD <br />I <br /> <br /> <br />E3 NEWCONSTR E3 <br />INSTALL <br /> <br />D SFR CJ <br /> <br />D BLOCK CJ <br /> <br /> <br />I $N :s:r,e}U., CO<,'J~/N(~ <br /> <br />I SQ FOOTAGE I <br /> <br />SUBDIVISION <br /> <br />PARCELIDtloz-zGo-Z/ -0010 -OZ:t,foc) '002.0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SIGN 0 MOVE D <br /> <br />DEMOLISH <br /> <br />ADOIALT D <br />REPAIR <br />COMM D OTHER <br />FRAME D STEEL 0 OTHER I I <br /> <br />A.I' ?i-jA~'l-=r H~ S(J ~i?..i-!~/O'" ~~~ <br /> <br />I HEIGHT I I <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />D BUILDING Is I VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ I AMP SERVICE CJ PROGRESS ENERGY D WRE,C. <br />D PLUMBING 1$ I <br /> ~ \)u:~ <br />D MECHANICAL 1$ /~OO. 00 I VALUATION OF MECHANICAL INSTALLATION 1 \ C'J--t': <br />D GAS D ROOFING CJ SPECIALTY D OTHER <br />FINISHED flOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />BUILDER COMPANY <br />SIGNATURE REGISTERED ~ FEE CURRENT U::.!..!L.J <br />Address License # <br />ELECTRICIAN I COMPANY <br />SIGNATURE REGISTERED L..r.!....!'!.. FEE CURRENT l...!.L.!!.-1 <br />Address I License # <br />PLUMBER I COMPANY <br />SIGNATURE REGISTERED L..r.!....!'!.. FEE CURRENT l...!.L.!!.-1 <br />Address I License # I <br />=~~:::' !"L c:3~ COMPANY 1-Se-Ct.J12t7")t" fi1?~ ~.JLLc::.... <br />REGISTERED L..r.!....!'!.. FEE CURRENT Y/N <br /> License # l'OZS:>4::;'O<>Oo<:C:2!)C v1 <br />Address <br />OTHER I COMPANY ~ I <br />SIGNATURE REGISTERED FEE CURRENT l...!.L.!!.-1 <br />Address I License # I <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans, (2) sets of Building Plans, (1) set of Energy Forms <br />Minimum ten (10) working days after submittal dale, Required onstte, Construction PI..,s, Saritary Faciltties & 1 dumpster <br />Attach (3) sets eX Building Plans; (1) set r:A Energy Forms. <br />Minimum ten (10) working days after submittal dale, Required onstte, Construction PI..,s, Saritary Facilities & 1 dumpsler <br />AD commercial requirements must meet compliance. <br />Attach (2) sets eX Eng~ PllW1S, <br />-F'ROPERTY SURVEY required for aD NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Direc:tions: <br />Fill out application completely, <br />Owner & Contractor Sigl back r:A application, no1arized <br />If over $2600, a Nolioe of Commencement Is required. (AIC upgrades over $6000) <br />Agent (for the oontraclor) or Power r:A AIlorney (for the owner) would be someone with notarized leltBr from owner authorizing smne <br /> <br />OVER THE COUNTER PERMITTING (Front r:A Application Only) <br />Reroofs S-ers Service Upgrades A/C Fences (PIolISurveylFootage) <br /> <br />Driv_ays-Not over Counter W on publiC roadways,.needs ROW <br />