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<br /> <br />Owner's Addretia <br /> <br />Fee Simple TIUeholder Name I <br /> <br />Fee Simple TItleholder Addreaa I <br /> <br />JOB ADDRESS 12G/'rlYr(lilt.L~ "qA.;2IT i.;3'SO .<071-157: z:{t::~({..L.'::'JrL I LOT# <br /> <br />SUBDIVISION I I PARCELID#I/3 -:J.b'-2./-C070 -b7YcC - GCC.--o <br />(OBTAINED FROM PROPERlY TAX NOTICE) <br />E1 ADD/ALT D SIGN 0 MOVE D <br />REPAIR <br />D COMM D OTHER I W AA€ J-icvse: <br />D FRAME D STEEL D OTHER I <br /> <br />165"LCC; "::>~ VIf-r<EJ.100.5>t:3. tb</'A-t':WoA/ WI/1-1 A'e'W C.;07M#C. <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />Date Recalved <br /> <br />WORK PROPOSED <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-o021 <br /> <br />'b4.I<A :tAK-, <br />='30 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />B <br />D <br />D <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />DEMOLISH <br /> <br />SFR <br /> <br />BLOCK <br /> <br />ff}0T.M$AWI <br />I <br /> <br />tVE <br /> <br />BUILDING SIZE <br /> <br />DESCRIPTION OF WORK <br /> <br />SQ FOOTAGE I,~s}cc.v 4"A--+,o.:e;GHT I <br /> <br />35 \ <br /> <br />o <br /> <br />D <br />D <br /> <br />D <br /> <br />D <br /> <br />BUILDING <br /> <br />1$, ~I 'l~)c;e:c) I <br />1$ <br />1$ <br />1$ <br />D <br /> <br />OTHER <br />DYES <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />I <br />I <br />I <br />D <br />I <br /> <br />D <br /> <br />D <br /> <br />AMP SERVICE <br /> <br />PROGRESS ENERGY <br /> <br />WREC. <br /> <br />PLUMBING <br /> <br />... \ '; \ <br />,,,CC ~ <br />SLc.bS __ <br /> <br />~ !31m 'Db <br />~.ll..lt.d..o S. w Plan <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />, <br />i . ~ 2J.,.. <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />GAS <br /> <br />ROOFING <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />DNO <br /> <br />BUILDER J.--?::-:..~ -" <br />SIGNATURE : ...~~ <br />Addresa (II RiVEt<. $JIJE /JVI-=. <br /> <br />Address <br /> <br /> <br />MECHANICAL I (l - . <br />SIGNATURE .~ <br /> <br />Address I <br /> <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />l' <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />f <br /> <br />, ' <br /> <br />'. ..~ '\ ~ <br /> <br />COMPANY I i-\~Yf~:~j\ \ <br />REGISTERED Y I N FEE CURRENT ~ <br />JliCK0;WILLEj~ 32202 License# leGe co 537S I <br /> <br />I ;~:~~~ I! ~ ~~E~~R~E~T\' ( ~ 1 <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />License # <br /> <br />5suL (}.::P:::.~n\Q./,,,,..t-1 <br /> <br />1~&2r~R~ <br /> <br /> <br />License # I <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />13~~N?- <br /> <br /> <br />License # I <br /> <br />I~ <br />Y/N <br /> <br />~~-t- <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />~ <br /> <br />License # <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Attach (2) Plot Plans: (2) sets of Building Plans: (1) set of Energy Fonns <br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans: (1) set of Energy Fonns. <br />Minimum ten (10) working days after submittal date. Required onsite, 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 ail NEW construction. <br /> <br />Dlnoctlona: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Cammancement la required. (AlC upgradea aver $5000) <br /> <br />Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITnNG (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on publiC roadways..needs ROW <br />