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813-780-0021) ~ I City .Jf Zephyrhills Permit Application Building Department iBYD Fax-813-780-0021 ~ 1261 J Z~ir-J~LL I I Owner's Address Fee Simple Titleholder Namel Date Received Owner's Name Fee Simple Titleholder Address I - , JOB ADDRESS I ~Bf mech-~ tJ~ :;~_,{lJe~,:, k') SUBDIVISION I b R \J~ -rss:::=- I PARCEL ID# _ (OBTAINED FROil PROPERTY TAX NOTICE) E3 NEW CONSTR c=J ADD/ALl D SIGN D MOVE 0 INSTALL c:=J REPAIR PROPOSED USE D SFR D COMM u:2r OTHER I I ~, -?;;j;,1M~ TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I DESCRIPTION OF WORK I \i)<ec r- ~ ~Ckr l'c\idU.c" ~ BUILDING SIZE I I SQ FOOTAGE I . I HEIGHT ~ " I' Trlllllllllll n 1111111111111111111111111111111111111111111111111 i 111111111111111111111111111111111111111111111111111111111111111111111111111111111 CB-- BUILDING 1$. I VALUATION OF TOTAL CONSTRUCTION . IOqO~C:>~Do . 1$ I AMP SERVICE ~ PROGRESS ENERGY /0r~ C~(' o..J . 1$ ~5<9D_~ I 1$ ~I Of:;B. Do I o GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNo 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111II1I11I11 ~~ ~'1.s. VT(.U-Cl ~ d ,JjJA,~~~ ~N I FEE CURRENT I Y/NbI LIcense # Ict5'c l~bD7/~ I I~~~ I I Y I N I FEE CURRENT I Y I N I License # I ec.... /3 DO I ~ ~..:3 I ~':=~ I ~ L-FE~~~~~ 1 License # I c..:J-.e.... J 'fa( 5 ~ 0 ~ I MECHANI.CAll ~ /J Ju,AV - J J..- COMPANY I S'~ tL'4 ,!,. S~ ~ I SIGNATURE ~~~ REGISTERED I YI N 11 FEE CURRENT I Y/N I Addr~~ LIcense # Ie M ~ {d' cf b ( I OTHER I COMPANY I SIGNATURE . REGISTERED Y I N FEE CURRENT Y I N Address I I License # I ---- I 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal dale. Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) wOrking days after submittal date. Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. Attach (2) sets of Engineered Plans. '''~PROPERTY SURVEY required for all NEW construction. 11.11111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 Directions: . Fill out application completely. Owner & Contractor sign back of application, notalized If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PEIIJIW!... nly) Reroofs . ," . ra "';"~. ilKVkiW4ttpgra~,!t:";:':;.._ C Fences (PloUSurvey Driveways- {?~;;.~~~~f!f!:'~;~~I'~::~ OW t' t.,' t 1'0 '~"""\O : ,., .~:J!:., ; i:"; ,\ ,..i~: . . ~.: - \:'<~~~ t'l'" 6 ~#;~;-'i.I,~~~::<~"'. rovA (,;;10\" '1."J.~ot 1.." "!lb41O ._....->.~~lI'l' lOT # ~ WORK PROPOSED DEMOLISH o;;a--- ELECTRICAL D W.R.E.C. ~LUMBING ~ MECHANICAL VALUATION OF MECHANICAL INSTALLATION ~bU BUILDER SIGNATURE ELECTRICIAN SIGNATURE PLUMBER SIGNATURE COMMERCIAL SIGN PERMIT .- . ;" r. \-1 _ H~ ,~; ~A~' _:it~~t-1";' "., ..~~~:..,'~:;..:.~., r t, lei 1 t{\ Mt;l;' ",Idli"', "i;l(M t '/.. {::7"}. ' ",.;, - ~ ....:.~..~': ;r('~r 'Q.~ "'~. I'l.j n,'12?'i"If'.,1 ~M C "."M ..;-:: ~~~u::,~,~,'.-:~",~~'(:;~i':':~'.~~".,,, '.:~~~~~.. :..