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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />Owner's Name ',t::$7l-~ M';'~ . ;t1t:?t2..TfI '54/41 ,:J:)tC., <br />Ow~er'sAddr~ I;;~~~~.r~ ~~~",%,3o ' <br /> <br />Fee Simple TItleholder Name I <br /> <br />JOB ADDRESS <br /> <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />I <br /> <br />D NEW CONSTR D ADD/ALTO <br />D INSTALL D REPAIR <br />o SFR 0 COMM 0 OTHER I W AAE= J-Iov:;e L?.x,q+~Jd41 <br />o BLOCK 0 FRAME 0 STEEL 0 OTHER I I <br /> <br />/b~,~ 5r Vlf-I<t3/'/Of.A.j;e ~~oA/ <br /> <br />SQFOOTAGE I/~~ca::> ~A-.f'O~GHT <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br /> <br />iYPE OF CONSTRUCTION <br /> <br />D BUILDING IS." 3 ,~Jc;c;O I <br /> <br />. <br />D ELECTRICAL Is I <br />D PLUMBING Is I <br /> <br />D MECHANICAL Is I <br /> <br />D GAS 0 ROOFING 0 <br /> <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />IvE <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />\;/(/ <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />ONO <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br /> <br />COMPANY I <br />REGlS'TalED <br /> <br />L:!..!..!!.J <br />yWILLE, Z "32202 License# leGe c:a337sl <br /> <br />Ie; t~h' 8CZ7AKAt: C'e--.v'?/t. .];lA::.-1 <br />k' y) N I FEE CURRENT ~ <br />License # Ice OO()oSlJ '/ I <br /> <br />I <br />, <br />I <br />I <br />, <br />I <br /> <br />YfN <br /> <br />FEE CURRENT <br /> <br />Addl'lllle <br /> <br />Addl'llSS <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />L.:!.!1U <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Addrus I <br /> <br />~:~~RE I <br /> <br /> <br />Add... I <br /> <br />License # <br /> <br />COMPANY <br />REGlS'TalED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />L:!..!..!!.J <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y IN <br /> <br />FEE CURRENT <br /> <br />L:!..!..!!.J <br /> <br />License # <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set ef Energy Fenns <br />Minimum ten (10) working days after submittal date. Required ensile, CenstnJctien Plans, Sanitary Facimies & 1 dumpsler <br />Attach (3) sets of Building Plans; (1) set of Energy Fenns. <br />Minimum ten (10) working days after submittal date. Required ensita, Constructien Plans, Sanitary Facilftles & 1 dumpster <br />All commarcial requlramenls must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />-PROPERTY SURVEY required fer all NEW constnJction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Dll'8CtIana: <br />Fill cut applicatien completely. <br />Owner & Cantr"cter sign back af application, notarized <br />If aver $2500, a Nollce of Commenc.......t Ie required. lAIC upgrecl.. aver $lOGO) <br /> <br />Agent (fer the contracter) er Power of AlIemey (fer the owner) would be someone with notarized leller tram owner authorizing sem" <br /> <br />OVER THE COUNTER PERMrmNG (Front of Applicatien Only) <br />Rereefs Sewers Service Upgrades . AlC Fences (PlctlSurveylFcatage) <br /> <br />DriYewaya-Net ever Ceunter if en public roadways..needs ROW <br />