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<br />813-7110-OO2O <br /> <br />City of Zephyrhills Pennit Application <br />Building [)eplnnent <br /> <br />F8X-813-7~1 <br /> <br /> <br />0... Received <br /> <br />Owne..s Name <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number / <br /> <br />Fee Simple TltIeholder Address I <br /> <br />/31 '3D I C-ha fX?- \ H; II loop <br />12tph~rh;l(.; CJo"'t~aovJ PARCELIDII,j O~. 'd&'" ';;).1. CX)\O .lo~oD. 00 \0 <br />IOBTAUED ~ PROPERlY TAll NOTICE) <br />B NEWCONSTR E3 ADDIAlT ~ SIGN D MOVE 0 <br />INSTAlL REPAIR <br />PROPOSED USE 0 SFR D COMM 0 OTHER <br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL D OTHER I <br /> <br />.......".."'..... I (,.lod" ~ for poql \'4~P5 , ~'; t.\yoJ;=",kM <br /> <br />~~ I~~~l I~~ I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />LOT. I <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />o <br />lsJ <br /> <br />BUILDING <br /> <br />1$ <br /> <br />ELECTRICAl <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGV <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VAlUATION OF TOTAL CONSTRUCTION <br /> <br />1$ .",,\..J ,,<,Q <br />L.Q{QO:: ) ~ ~ . <br />o PLUMBING 1$ <br /> <br />o MECHANICAL 1$ <br /> <br />o GAS 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />VAlUATION OF MECHANICAL INSTAlLATION <br /> <br />ROOFING <br /> <br />SPECiAlTY 0 <br /> <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DVES <br /> <br />DNO <br /> <br />~~RE I <br /> <br />Address I <br /> <br />::O=~Nf~~5~ <br />Add,...s I t.j D~~ W . ~ovJ", Av.JL. <br />PLUMBER I <br />SIGNATURE . <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />VI N <br /> <br />FEE CURRENT <br /> <br />COMPANY <br />REGISTERED <br /> <br />License . I <br /> <br />1Tamp? DeG+nC) Tnt. <br />~ ~ FEECURRENT l.!.!.U <br />License' I Ec (.10~"8 "'3 <br /> <br />l.!.!.U <br /> <br />COMPANY <br />REGISTERED VI N FEE CURRENT l.!.!.U <br /> License , <br />COMPANY <br />REGISTERED VI N FEE CURRENT l.!.!.U <br /> License' <br />COMPANY <br />REGISTERED VI N FEE CURRENT l.!.!.U <br /> License , <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />~~~RE I <br /> <br />Address I <br /> <br />RESIDENTIAL <br />COMMERCIAL <br /> <br />Allach (2) Plot Plans: (2) sets of Building Plans: (1) set of Energy Forms <br />Minimum ten (10) working days after submillal date. RequiAld onsite, ConSlrudion Plans, Sanitary Facilities & 1 du~ <br />AIIach (3) sets of BuHding Plans: (1) set of Energy Forms. <br />Minimum ten (10) worIdng days after submitlal date. Required onslte, Construction Plans, Sanitary Faclllties & 1 du""sler <br />All commercial requirements must meet compliance. <br />Allach (2) sets of EngiMered Plans. <br />--PROPERTY SURVEY requiAld for all NEW construction. <br /> <br />SIGN PERMIT <br /> <br />DII"lICUons: <br />FlU out app/lcation completely. <br />Owner & Contractor Sign back of application, notartzed <br />If over $2liOO. a Notice of Commencement Is l'8qulred. (AIC upgnld.. over $5000) <br />.. Agenl (for Ihe contractor) or ~ of AIIomey (for the owner) would be someone with notarized IeUer from owner aulhorlzlng same <br />OVER THE COUNTER PERMITnNG (Front of Application Only) <br />ReroofS Sewers S8Nice lJpgnIdes AIC Fences (PIollStrlleylFootage) <br /> <br />Drlvewaye..Nol Oller Counter If on public ~..ooeds ROW <br />