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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-a13-7lJO.OO21 <br /> <br />IlltfIfMlllllmMltif.DIlI1l11flllUllllllllmm___ <br />D BUILDING ,s <br /> <br />D aECTRICAL ,s <br /> <br />D PLUMBING ,s I ;f1J17O <br /> <br />D MECHANICAL IS <br /> <br />o GAS 0 ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />~-:~~~p~~~"~ h?v-j~ I <br />Ownw.~L1.J~_JI_~_ :J ===E I <br />F..S1...TIlIehoIder....1 (!.J~~O J..Id~ I Owner "'-Number I I <br /> <br />:::..-~~~~ ~br;t:nrlsR.bJ;~~~~(J%4 <br /> <br />12tP.p,y~.~ I PARCEL'OIII~-2iJ-LI-OJ~I>{}yyyJ-tJ?~.,{) I <br />COBTAINEO _ PIIOPPtY TAll NOTICl!I <br />8 NEWCONSTR E3 ADO/ALT 0 SIGN D MOVE 0 <br />INSTALL REPAIR <br />PROPOSED USE 0 SFR D COMM [R(' OTHER <br />1YPE OF CONSTRUCTION 0 BLOCK D FRAME t:f STEEL D OTHER I <br /> <br />_OF_ ~ h~ tfltej'/JI <br /> <br />BUILDING SIZE I SQ FOOTAGE I . HEIGHT I <br />rn.-1ftIIIItIlIlttf- mBltllltlll fhlltm1ltll1ltntDUm_lImUIitIIIll_lIfttllUUtlIUIllIIIIIiUlIIIlIIIIIBmIIIIIUIlIOmIIlIlIllllllUmaIl1ilMltlll1t1Rl1IUMMI <br /> <br />I <br />I <br />I <br />I <br /> <br />D SPECIALTY 0 OTHER <br />I FLOOD ZONE AREA DYES DNO <br /> <br />SU8DMSlON <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />WR,E,C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />un", <br /> <br />BUILDER I COMPANY <br />SIGNATURE . REGISTERED L!.!..!LJ FEE CUlRIlNT L:!.!!LJ <br /> <br />A__l L~' <br /> <br />:C:~~N I I == L1.L!LJ FEE CUlRIlNT L:!.!!LJ I <br />Addrees I i Ln I "*-. I I <br />=:.. 1r1... - ,- == Il{~~?l~~~ <br />-- l8<>i{ &*!J IUe /.kiJ<;a? A~? "*-. I?R'~~~ <br />== I I == I L!.!..!LJ FEECUlRIlNT V IN <br />A~ I Lie_at I I <br />OTHER I REGlCOM~ I <br />SIGNATURE . D'~ VI N FEECURRENT L:!.!!LJ <br />AddnM I Lice"..' I <br /> <br />1W.1Ifl <br /> <br />J J1il wtlili1.tiWII&1 <br /> <br />~~;i1l:;W~WllJRSRl tl. <br /> <br />1&.t1I~Ulj <br /> <br />..:d. W <br /> <br />JlI_ <br /> <br />J1~ <br /> <br />laklUlll111. <br /> <br />Rl!81DEN11AL <br /> <br />Attach (2) Plot PI8nlI; (2) I8ta c:i Building Plana; (1) set c:i Energy Forms; R-O-W Pemt~ for.- construction, <br />MinimLm ten (10) WOfking days after submittal date, Required ons~e, Construction PI_ Stonnweter Plans wi Sill Fence insI8lled, <br />Senitary Facilities & 1 dunpeler; SiIe 'Mlrl< Perm~ for ~ projecla <br />Attach (3) complete I8ta c:i Building ..... plus 8 Life Safety Page; (1) sat c:i Energy Forms, R-O-W Perm~ for new <:on8InJClion, <br />Mlnim<m ten (10) warklng days lIIIer submittal date, Required onsiIe, ConslNclion Plans, ~ Plans wi Sill Fence insl8ll8d, <br />Sanitary Facilities & 1 dunpsler, SiIe 'Mlrl< Perm~ for 1II1 new ~, All commen::l8l requirBmenls must meet compliance <br />Attach (2) sats c:i EngineerecI Plana, <br />-pJtOPERTY SURVEY requir8d for all NEW construction, <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />.................................. ................................ .............. -- ..............1 <br />DlractIons: <br />Fm out .pptIc8tIon compIately, <br />Owner & ConIrIIctor sign back c:i appIic8tion, nolariz8d <br />If over S2IOO, 8 HoIIce of c-_t 1s....lNd. (AIC upgrIIdM over $lOGO) <br />- Agent (for the c:antractor) or Power c:i AlIomey (for the owner) would be someone with nolarized IeIter from owner 8Ulhorizing sam. <br />OVER THE COUNTER PERMrmNG (Front c:i Application Only) <br />Reroofs s--s Service lIpgredes AIC Fences (PIotISurveylFoolIrge) <br />Otl......,.NoI over Counter if on pubHe roadweys, ,needs ROW <br />