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<br />Date Received !.12.....:.'?:t:L:?J. Phone Contact .f?r Per~itting. .1~~I,...I.~~:~'.:~.j:!:~.':t} J <br />~:~er:s~a::18E~ + t<()5~.I'N~ CH'~Nl. I owner~honeNumber I ~-St..~ 0378 <br /> <br />Owner's Address jll,li,S PO.J~e.'-I~.. l2oA.o f DADE I Owner Phone Number I <br />Fee Simple Titleholder Name I IC(~~:r ~:~~mber I <br /> <br />813-780-0020 <br /> <br />" <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBI NG <br />0 MECHANICAL <br />0 GAS <br /> <br />City of Zephyrhills Permit Application <br />BUilding Department <br /> <br />Fax-813-780-0021 <br /> <br />I <br />J <br />I <br />I <br />1<1'1'(01 <br />I <br /> <br />5-"'01 <br /> <br />4....l s+: <br /> <br />LOT# <br /> <br />B <br />[0 <br />o <br /> <br />It!ou:,,ro:. <br /> <br />I <br />B <br />CJ <br />CJ <br /> <br />OTHER I <br /> <br />PARCEL 10# I II - z.(. - z. 1- 00 i 0 - Oq 3 0 (>- COli 0 <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />D <br />o <br />o <br /> <br />ADD/AL T <br />REPAIR <br /> <br />COMM <br /> <br />FRAME <br /> <br />=:J <br /> <br />SIGN <br /> <br />MOVE 0 <br /> <br />DEMOLISH <br /> <br />SFR <br /> <br />I <br />D <br /> <br />OTHER <br />STEEL <br /> <br />BLOCK <br /> <br />RE.-~oOF ~( GrA F z S yt.A~ '3 -'Ai> S+4'N.tr\..C) <br />SO FOOTAGE I I HEIGHT I <br /> <br />1$ <br />Z4/00. l""'1) <br /> <br />1$ <br />f <br />L <br /> <br />[RJ ROOFING <br />FINISHED FLOOR ELEVATIONS [ <br /> <br />I <br />I <br />I <br />.~ <br />CJ <br />I <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br />SPECIAL TY 0 OTHER <br />FLOOD ZONE AREA DYES DNO <br />COMPANY J <br />REGISTERED ~ FEE CURRENT I Y/N I <br /> License # I <br />COMPANY 1 <br />REGISTERED ~ FEE CURRENT I Y /N I <br />=:J License # J <br />COMPANY J <br />REGISTERED ~ FEE CURRENT L:0~ <br /> license # 1 <br />COM"I\NY I <br />FE.:';I~;TE~~L:[ ~ FlE CURRENT ~/N I <br /> license # <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />CJ <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />WR E (' <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />O'/HER <br />SIGNATURE <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />License # <br /> <br />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 dumoster <br />All commercial requirements must meet compliance <br />Attach (2) sets of Engineered Plans <br />*u*PROPERTf SURVEY required for all NEW construction. <br /> <br /> <br />Fill out application completely. <br />Owner & Contractor sign back of application notarized <br />If over $2500, a Notice of Conlmeneement is required. (A/C upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (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 Ale <br /> <br />Driveways-Not over Counter if on public roadways needs ROW <br /> <br />Fences (Plot/Survey/Footage) <br />