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<br />813-780-0020 <br /> <br />Date Received <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />tOlL-II r <br />u I rJ-./ Petirl <br /> <br />Owner's Name <br />i-l I <br />Owner's Address <br /> <br />Fee Simple Titleholder Nalllel <br /> <br /> <br /> <br /> <br />CLdt![/) <br />& / J.- / fJetLI'/ <br />I OG..-16LL iL fJ a /'II( <br /> <br />h.Lp <br /> <br />2~ '/"h//J r=1.33<StjJ- LOT# I <br /> <br />PARCEL ID#I c),;L.- ~ -~ - (JaM - ()OJdd- ckJ/ d <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />ffiJ <br />D <br />o <br />I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />/ <br />v~f <br />I <br />B <br />o <br />o <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />o <br />o <br /> <br />/?JO/Y} <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />I la' x /,f' <br /> <br />SQ FOOTAGE I <br /> <br />I fo 'I <br /> <br />I <br /> <br />..'"1..'.......................11...................11.................1111...........11..1111.................11..........1........................ <br /> <br /> <br />pl~ <br /> <br /> <br />1$ <br /> <br />1$ <br /> <br />c=J GAS 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />Cf <br />c=J <br />c=J <br />c=J <br /> <br />BUILDING <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />: <br />I <br />I <br />o <br />I <br /> <br />HEIGHT I <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C <br /> <br />o <br />;~.~ <br /> <br />OTHER <br /> <br />~c: ~~ <br />~~ v!eJ <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />RESIDENTIAL <br /> <br />DYES <br /> <br />DNO <br /> <br /> <br />A tu rx'/I2I//YJ <br />FEE CURRENT <br /> <br />License # <br /> <br />I Y IN <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />YI N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Y/N ,. <br /> <br />Y/N <br /> <br />I <br /> <br />1111111111111111111111111111111'1111111111111111111111III111II1III111111111111111111111111111111111111111111III1II11IIII111111111111111111111111111 <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, <br />