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<br />"l~' <br />813-7"" ~..L- <br />--- <br /> <br />City of Zephyrhills Permit Application <br />Building Oeplrtment <br /> <br />F8)(-813-780-0021 <br /> <br />D8I1I Received <br /> <br /> <br />Owner'a N-. 0 LL. C- <br />Owner'a Addrws L tot II C. 0 rv-.. r.... I!Ar" ~ 'D 1 C- ~ .s -k.. 3 <br />F.. Simple T1tteholder Name I <br /> <br />Owner Phone Number <br />Owner Phone Number I <br />Owner Phone NwnbIIr I <br /> <br />Fee SImple 11tkII1oIder Addrws leD. .p 'R-\ () 1?.7 ~ <br /> <br />h~25" C;a....\\ "6lvd 2.eph~rh..lls. FI I LOU I <br /> <br />I I PARCELIDI!34 ~25"" ~2..1 -0 I 5"0 - 000"0 -00 L DI <br />(08T__~TAXN01lCI!I <br />D NEWCONSTR EJ ADDlALT !Sa SIGN 0 MOVE 0 <br />~ INSTALL REPAIR <br />PROPOSED USE 0 SFR ~ COMM 0 OlliER I <br />TYPE OF CONS1RUC11ON 0 BLOCK CJ FRAME 0 STEEL 0 OTHER I '^ \......... ;".... "" <br /> <br />DESCRlP11ONOFWORK I~('\<; \-a....l \: I' S o"'-~ ~ a ~ c....t... a..n~ \ ,-t+ t:.rj. <br /> <br />BUILDING SIZE I r 5' . )( z.S" I sa FOOTAGE I 3"'" 5" HEIGHT I <br /> <br />JOB ADDRESS <br /> <br />SU8DMSION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />, Will. __1_,- <br />fBl BUILDING " .1.1 ~4 .00 <br />0 ELECTRICAL 1$ <br />0 PLUMBING IS <br />0 MECHANICAL 1$ <br />0 GAS 0 ROOFING <br />FINISHED flOOR ELEVATIONS I <br /> <br />IS' <br /> <br />- <br /> <br />TI=~ ~.1 <br /> <br />nAII- <br /> <br />.'iN.''i'lT~-- -ilt~r., <br /> <br />I <br />I <br />I <br />I <br />CJ <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Qj.j.d, 1 rI <br /> <br /> <br />OlliER <br /> <br />DYES <br /> <br />DNO <br /> <br /> -e- fh c... 0 c.c" <br /> Y/N feE ClJRRIlNT <br /> License #I <br />COMPANY <br />REGISTERED I...Y.DLJ FEE CURRENT L!.!!L.I <br /> License #I <br />COMPANY <br />REGISTERED L!L!LJ FEE CURRENT L!.!!L.I <br /> License f# <br />COMPANY <br />REGISTERED I...Y.DLJ feE CURRENT L!.!!L.I <br /> I..lc:enM f# <br />COMPANY <br />REGISTERED I...Y.DLJ FEE CURRENT L!.!!L.I <br /> License f# <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Addrws <br /> <br />PLUMBER <br />SIGNATURE <br /> <br /> <br />Addrws <br /> <br />OTHER <br />SIGNATURE <br /> <br />Addrws <br /> <br />- nil L 1 - ~ 111I11111111 l'!IIlBI 1 """'11IIIII1 _ U 1111I01 1IUIIIII1II.IBI 11Ift U. _IIH ..n 11_ <br />RHID1!Nl1AL AIlac:h (2) Plot Plans; (2) seIS cI Building Plans; (1) 881 of Enetgy Fonns <br />Minimum ten (10) working d8ys aftar suIlmillal d81e. Required onsile. ConslnJclion Plans. Sanitary Facililles & 1 dumpster <br />COMMERCIAL Altach (3) 881. of Building Plans; (1) set cI Energy Fonns. <br />Minimum ten (10) wor1<ing days alter Mmitlal date. Required ensile. ConslnJclion Plans, Sanitary Facilities & 1 dumpster <br />All commercial requiIemenI. must meet compliance. <br />SIGN PERMIT AIlac:h (2) sets of ~ Plans. <br />""""PROPERlY SURVEY ~ for all NEW construction. <br /> <br />~: _3J tIIIlt.u -- I:i:'t imlllillnd ~~~~ 11 _ ~ lLlIlIll:ll J _ JIWt'....u I Iili~ _lUU lllHill <br /> <br />FiB out application completely. <br />Owner & ConInIclor sign beck of eppIicalion, notarized <br />If over $2SOO, . NotIce of Comm...c.......l.. noquIAId. lAIC upgnldea _ $5000) <br /> <br />~ Agent (for the contractor) or Power of A1lomey (for the owner) would be someone wilh nol8lized lelIer from ""'"'II authorizing earn. <br /> <br />OVER THE COUNTER PERIIIT11NG (Front cI ApplicaIion Only) <br />Reroors Sewws Setvioe Upgredes AlC Fences (Plct/&.rveylFootage) <br /> <br />DrI~ over Counter if on public roadways..needs ROW <br />