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<br /> <br />813-780-0020 <br /> <br />Date Received <br />-- <br /> <br />ler's Name <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />Fee Simple Titleholder Address <br /> <br />73r:A <br /> <br />z - 33S~' <br />G JIlc\....&.... ~\ ~o I k:.Pl-N~l-\'l\..l '0> M.._ <br /> <br />Nk- <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />~ <br />I <br />I <br />C~ <br />I <br /> <br />3110~. 31, \'L <br />(Ji<\!.. R\AoJ <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br /> <br />BLOCK <br /> <br />BUILDING SIZE <br /> <br />- <br /> <br />ADD/ALT <br />REPAIR <br /> <br />COMM <br />FRAME <br /> <br />o <br />G2t <br />o <br /> <br />JOB ADDRESS <br /> <br />1$ <br />, /?J IEi8.S\J <br />1$ <br />1$ <br />1$ <br /> <br />D GAS ~ ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />IWlr"..'-o' nlllJl----- - <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />1_-'--'-- <br /> <br />~ BUILDING <br /> <br />D ELECTRICAL <br />LJ PLUMBING <br />D MECHANICAL <br /> <br />E3 <br />D <br />D <br />I ~ht~\~ ~t.~~ IAdUQ <br />. <br /> <br />.. ~ SO FOOTAGE I <br /> <br />I <br />I <br />I <br />I <br />o <br />I <br /> <br />{)AY-. ~\JN C ut~ \ Z1::.~)'\'t a.H\. \.U k...... LOT # <br /> <br /> <br />I PARCELlD#1 34.l.~.2.\. ~l)~~- l~3~~. o,~~ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />tJ <br />o <br />o <br /> <br />2s\~ 6~ <br /> <br />SIGN <br /> <br />D <br /> <br />D <br /> <br />DEMOLISH <br /> <br />MOVE <br /> <br />OTHER <br /> <br />l1l.l..-~onF <br />D OTHER I <br />\"\.. ~4C M'P~ <br />~ \ ,'S\.. \ <br /> <br />I <br /> <br />STEEL <br /> <br />\a. . "J. u..-. c ....., <br />HEIGHT I <br /> <br />kit. <br /> <br />Jllr -v..... <br /> <br />- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />D <br /> <br />WR,E,C, <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />~~~~~~RE I A&6? I- ~ <br />Address I t 5q / I U::..301 7:xxJe C-; ~ I ~I <br />ELECTRICIAN I <br />SIGNATURE , <br /> <br />COMPANY <br />REGISTERED <br /> <br />3Dsa.3 <br /> <br />I <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL I <br />'3NATURE , <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />OTHER <br />SiGNATURE <br /> <br />COMPANY <br /> <br />REG:S;ER:=O <br /> <br />Address 1 <br /> <br />III~ I. '--U. <br /> <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms, <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance, ' <br />Attach (2) sets of Engineered Plans, <br />....PROPERTY SURVEY required for all NEW construction, <br />--- . <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />OTHER <br />DVES <br /> <br />DNO <br /> <br />--..- <br /> <br />-1- <br /> <br />~~~~ ~~~E~TcJ\~czStrf <br />License # I C'cc..'D5/ 5 U ~ <br /> <br />Y I N FEE CURRENT <br /> License # <br />V / 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 />Y/I'! <br /> <br />FEE CURRENT <br /> <br />Y/I'! <br /> <br />License # <br /> <br />-II <br /> <br />lfi._----. <br /> <br />r -W~- <br /> <br />...... <br /> <br />"""1/1"-_ <br />rections: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (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 AlC <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (PloVSurvey/Footage) <br />