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<br />e5/15/2eea le:22 <br /> <br />3525674454 <br /> <br />MILBAR <br /> <br />PAGE e2/e6 <br />Fax-81J.780-0UZ1 <br /> <br />4=t 1810 <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />D1Ite Received <br /> <br /> <br />6b.,. j"" 7 - 3'15'<': <br />N:: 01 ~~~..!. <br /> <br />Owner Phone Number <br /> <br />0-, Phone Nuftlber I <br /> <br />Owner Phone Number I <br /> <br />,.r's N_. <br /> <br />-"....... I 7-r <br /> <br />Fee Simple Titleholder Nan'lo <br /> <br />Fee Simple TltIoholder Add....s I <br /> <br />[ ~11 m -' 317/1 <br />ID~~ <br /> <br />DESCRIPTION OF WORK <br /> <br />/);l\c R...... ~..il.....1 7,,'P'n'1''^'\u. FL... LOU <br /> <br />I PARCELIPIlI Yt - 2.S- 2..1. 1\\500- Cl~3';)~ - \,) I LU <br />loeT""'!O I'IlOII PRopeRTY T^X NOTICI'l) <br />E3 NEW CONSTR C ':l ADDIALT D SIGN 0 MOVE 0 <br />INSTALL L...J REPAIR <br />o SFR D COMM 0 OTl-tER 1'Rt.-(tClrlF <br />D BLOCK CJ FRAME D STEEL 0 OTHER I <br /> <br />LBhl.I\'\~Ap fic.'~ lam~ 2S"'tr 3-hJD 8..~6,~,. ~~I NL. fL Nt' .9'5","_\ <br /> <br />I SQ FOOTAGE I I HEIGHT I I <br /> <br />JOB ADDR!!SS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />~ <br /> <br />BUILDING SIZE <br /> <br />BUILDING <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R,E,C, <br /> <br />1$/2- <br />o ELECTRICAL 1$ <br /> <br />U PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS rn-- <br />FINISHED FLOOR ELEVATIONS I <br /> <br />15Rro <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br /> <br />FLOOD ZONE AREA DYES DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br /> m..il&.r ~udla~ <br /> I t" ON I FEE CURRENT Y N <br />~I c3~3 License # I CCe0515u~ <br /> I COMPANY <br /> REGISTERED Y IN FEE CURRENT L'!.L!:U <br /> License # <br /> I COMPANY <br /> RIlGISTERED YIN I i FEE CURRENT L'!.L!:U <br /> Ucense # j' <br /> COMPANY <br /> REGI6TII!IU!D YIN 'II! CURRENT L.:!.!.!U <br /> License # <br /> COMPANY <br /> R&:GISTe~D YIN FEE CURRSNT L.1:..!lU <br /> LIcense II <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNA'l'URE <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />r <br /> <br />Address <br /> <br />MECHANICAL I <br />lNATURE , <br /> <br />Addres. I <br /> <br />~:H~~RE I <br /> <br />Address I <br /> <br />RESIDENTIAL <br /> <br />, <br /> <br />Attach (2) Plot Plans: (2) set9 of Building PlIlns; (1) set of Energy Forms <br />Minimum ten (10) _rking days aller sUbmilllll dllte, Required onslle, Construction Plsns, Senilely FacUlltes & 1 dumpster <br />AUach (3) sets of BUilding Plans; (1) set of Energy Form~. <br />Minimum ten (10) working days llf\@r submlttsl date, Required Onsile. Construction Plans, Ssnltary FeclllllBs & 1 dumpsts, <br />All commerci81 requirements must meet compliance, ' <br />Attach (:I) sots of Engineered Plell5, <br />-PROPERTY SURVEY reqUired for ell NEW coll$lrUctton, <br />, <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />rectlon.: <br />FMI out application cllmplelely, <br />OWner & ContreClor sign beck of application, nelart<ed <br />If over $:1500, a NoUce of Commencement 18 required. (AIC upgredes over $5000) <br /> <br />Agenl (for Ine contractor) or Power of "'Domey (for the owner) would be someone with nOl8rized Iel\er from owner Buthort%lng seme <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs seWers Service Upgrades AlC Fsnces (PloIlSurveylFootage) <br /> <br />DrlvllWll1s-Not over Counter if on public roaclways..needs ROW <br />