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<br />813-7~20 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Owner's Address <br />Fee Simple rrlleholder Neme I <br /> <br /> <br />I <br />I <br /> <br />#'?OO rh/C''''30 TL ~o6ol~ <br />I ).)tt~ AJ1IIVfTTc 5/ Z~f)hy~H/(,l--.s ~3,s-vJ Loa I I <br />I~fh IlIlL /J1~,Lt- ~~~~~D#I/Z-Zb-1../-OO~8-ooS"oo -(:10001 <br />(OBTAINED FROM PllOPERTY TAX NOTICE) <br />SIGN [kt MOVE 0 <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple TItleholder Adcha 10< /11"''-''''1+ ((, 1/ E RS I/) E Pi A 2 ~ <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />E3 <br /> <br />PROPOSED USE 0 <br />TYPE OF CONSTRUCTION B'" <br /> <br />DESCRIPTlON OF WORK Jf!.t toe Ii TL <br /> <br />BUILDlNGSIZE ~7' X';<Y' ' I SQFOOTAGE <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTAlL <br />SFR <br />BLOCK <br /> <br />B ADD/AlT <br />REPAIR <br />D COMM <br />D FRAME <br /> <br />L,I/ ClN/j1l <br /> <br />DEMOliSH <br /> <br /> <br />I <br />I <br />6.J"tS \ O:..tl- <br />~jt/ne "" AJ~ L;- <br /> <br />OTHER I <br />STEEL D OTHER I <br /> <br />E/C."V /(!c <br /> <br /><6' <br /> <br /> <br />HEIGHT I <br /> <br />D BUILDING 1$ <br />[2' ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br />D GAS 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />VALUATION OF TOTAl CO~S7 <br />IWtP SERVICE0200 PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />(<;S'DD. cro <br /> <br />VALUATION OF MECHANICAL INSTAlLATION <br /> <br />SPECIALTY 0 OTHER <br />FLOOD ZONE AREA DYES ONO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Add....... <br /> <br /> <br />Lr1.!LJ <br /> <br />FEE CURRENT <br /> <br />LY.!!:!...J <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Lr1.!LJ <br /> <br />FEE CURRENT <br /> <br />LY.!!:!...J <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />A~s I <br /> <br />~I~~TURE I <br /> <br /> <br />Address I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Lr1.!LJ <br /> <br />FEE~ <br /> <br />LY.!!:!...J <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Lr1.!LJ <br /> <br />FEE CURRENT <br /> <br />LY.!!:!...J <br /> <br />License # <br /> <br />-..-----.--..".-.--....... <br />",-,..,., ._......._......~..._,._"....o,.._, .. <br />O",.._."...""",."-,....,,_,,,.,.,........__o.q <br /> <br />....-.-,......--.,.....--..- <br />,_. .,",._~..,_o_,~.'"..._.__."... ..,,,_. <br />,~,,~'"___.'"'''''..._A".'..'"..,....-....,''_."..,__ <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Enetgy Foons <br />Minimum ten (10) working days after submittat date. Required onsita, Construction P.....s, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Foons. <br />Minimum ten (10) working days after submittat date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered P.....s. <br />"***PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br /> <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2600, . Notice of C..........~,...nt Is requl...... (AIC __ OYer $5000) <br /> <br />- Agent (for the contractor) or Power of Altomey (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 AJC Fences (PlotISurveylFootage) <br /> <br />Driveways-Not over ColXlter ~ on public roadwaysuneeds ROW <br />