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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br /> <br />Fax-813-780-0021 <br /> <br />I <br />I <br /> <br />FeeSimpleTitJeholderAddress ~r'H7AH'L.LS /1M-NT Ci330 :2.0 TH s?:" .r;;~~~".~sf'::L. <br />J-f q '3D<~ S4-. I LOU I I <br />I PARCEL 11># I I <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br />B NEW CONSTR B ADDIAl T 0 SIGN 0 MOVE 0 <br />INSTAlL REPAIR <br />PROPOSED USE 0 SFR CJ COMM 0 OTHER I.:L;.V r IE. A. lOt<( #iV//) J.iU6+ A'Cd1r'1 ~tllit:?AtS <br />TYPE OF CONSTRUCTION 0 BLOCK CJ FRAME 0 STEEL 0 OTHER I I <br /> <br />DESCRIPTION OF WORK I.(~M 1E>V71t.v>1C>A/ -eMU J...1Cl4..L. \.nrx CM~ 7O~tECK .J. ~A6I2~ <br /> <br />I SQ FOOTAGE I I HEIGHT I I <br /> <br />'\--a-Df <br />Owner'sName .AI~s7~ WII-i"S'l$ #t?llrH AII1etll <br />-....-. I ~1::'~:-~ ~Ea(o~"" <br /> <br /> <br />Fee Simple Titleholder Name _ <br /> <br />Dale Received <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />BUILDING SIZE <br /> <br />o BUILDING 11$.- <br />. 4,=,/~ <br />o ELECTRICAl 1$ <br /> <br />o PLUMBING 1$ <br /> <br />o MECHANICAL 1$ <br /> <br />o GAS 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />CJ <br />I <br /> <br />AMP SERVICE <br /> <br />CJ <br /> <br />PROGRESS ENERGY <br /> <br />)"D ~ ck ~p'uc. / <br />D,w.R.E,C, .. \ .t.Q..&& <br />~C:r ~,~ P\. ~ to-I <br />, f~ <br />(.lOC _N ,.~ <br />Loujl...~ ~~ <br />y-fV"rl- ~~ \ \1cg(O-7 .~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VAlUATION OF MECHANICAl INSTAlLATION <br /> <br />Address <br /> <br /> <br />SPECiAlTY 0 <br /> <br />FLOOD ZONE AREA <br />r <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY I ~ A5\C2- ~ \ Co, <br />REGISTERED I Y I N I FEE CURRENT <br /> <br />~ <br />I c::: cS> Co c::JO., ~ 7.s I <br />I <br /> <br />I <br />I <br /> <br />i <br />I <br />1 <br />I <br /> <br />~ <br /> <br />License' <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED YI N <br />COMPANY <br />REGISTERED YI N <br />COMPANY <br />REGISTERED YI N <br />COMPANY <br />REGISTERED Y IN <br /> <br />FEE CURRENT <br /> <br />License' <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address I <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />~I:~~RE I <br /> <br /> <br />Address I <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License' <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License' <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />License' <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Bu~ding Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsne, Construction Plans, Sanhary 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, Conslruclion Plans, Sanitary Facifilies & 1 dumpster <br />AI commen:ial requitements roost ~ COIIIp/ianoe. <br />Attach (2) sets of Engiooered Plans. <br />---PROPERTY SURVEY required for aI NEW consIruclion. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out application completely. <br />Owner & ConlnIctor sign back of application, noI8rized <br />If over $2500, . Notice of Conunencement is NquIr8cL (Ale upgqdas _ $1000) <br /> <br />Agent (for the contractor) or Power of AItomey (for the -..ef) woukI be _ wiIh noI8rized Ietler from _ aulhorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Appication Only) <br />Reroofs Sewers Service Upgrades NC Fences (PlotISuNeylFootage) <br /> <br />Drlveway&-Not over Counter if on public roedways..needs ROW <br />