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<br />City of Zephyrhills Permit Application <br />Building Department ..J::? <br /> <br />PI <br /> <br />813-780~020 <br /> <br />Date Received <br /> <br /> <br />Owner's Name -+eJ t.", <br /> <br />Owner's Address [ -,:> 3 " <br /> <br /> <br />Fee Simple Titleholder Name I <br /> <br />Fax-813-780-0021 <br /> <br /> <br />l-f. <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address I <br /> <br />17n <. 1:I~~l.ll\^J <br />. O~ \(. f-<.c.", <br /> <br />JOB ADDRESS <br /> <br />11 <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />BLOCK <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCTION <br /> <br />BUILDING SIZE <br /> <br />L('. <br /> <br />J PARCELIDlI34"'l~ -2./- 0100_ OOc:)O()-I!JOIO <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />E3 ADD/AlT SIGN 0 MOVE 0 <br />REPAIR <br />o COMM <br />D FRAME <br /> <br />LOT' <br /> <br />DEMOLISH <br /> <br />2 l' c.c,,,,, c./e. k <br /> <br /> <br />h OLl f' <br /> <br />1 <br /> <br />I <br />o <br />hc.~k <br /> <br />OTHER <br />STEEL <br /> <br />J <br />I <br /> <br />OTHER r <br /> <br />01 <br /> <br />~ <br /> <br />BUILDING <br /> <br />HEIGHT I <br /> <br />1$ I q 7 5" <br />I <br />o ELECTRICAL 1$ <br /> <br />o PLUMBING [$ <br /> <br />o MECHANICAL 1$ <br /> <br />o GAS 0 <br />FINISHED FLOOR ELEVATIONS r <br /> <br />ROOFING <br /> <br />J <br />I <br />I <br />1 <br />D <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />ONO <br /> <br /> <br />BUILDER <br />SIGNATURE <br />Address 4/ <br />ELECTRICIAN COMPANY I <br />SIGNATURE REGISTERED <br />Address J <br />PLUMBER COMPANY I <br />SIGNATURE REGISTERED <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br /> License ,. <br />YI N FEE CURRENT <br /> License , <br />Y/N FEE CURRENT <br /> License ,. <br />L Y IN FEE CURRENT <br /> License ,. <br />Y/N FEE CURRENT <br /> License II l <br /> <br />1 <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL l <br />SIGNATURE _ <br /> <br />Address [ <br /> <br /> <br />~::A~REI I.. <br /> <br />Address , <br /> <br />Y/N <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />J <br /> <br />RESIDENTIAL <br /> <br />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, Construdion 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 onsile, 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 />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out application completely. <br />Owner & Contrador sign back of application, notarized <br />If over $2500, a Notice of Commencement Is required. (AIC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized lelter from owner authorizing same <br />- - - - <br />OVER THE COUNT ... f~~j r,!")loI"J '!!~AM~"" "":\';""" ' <br />Reroofs Fences (PIOtlSurveY/FOO~ ~',), ','" ',) Itllil}:, ~itt:il,q ~,~V f'm,':. ,I ' \; <br /> <br />DrivewaYs-Not ; S "J! . )\l1l n,,,,. l" "1l"'""......." ~ ~. '~ff ~ <br />"iH{I~~ 00 . '.\>i!i:'IlI!,,-,~1 "~ ..,/i <br />· ,.~ V'a;1""IIlnciIl;~11!.AA;v1T"~ ".{,~:t.,.." ~ <br /> <br /> <br />,,., <br /> <br />- <br />