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813 - 780-0020 City of Zephyrhills Permit Application Fax -813-780 -0021 <br /> Building Department <br /> D ate Dabs euxtved • <br /> R tMMH,NU d - 3 _ O Phone Contact for PennIW g FM - G 'p V ���a <br /> ■ <br /> Owners Name _ i //// ; a ei a / le, A:4011er Phone Number 7 • - <br /> Owners Address I S 2 / -- � %.Ql -, j 1 Owner Ptak Number I <br /> Fee Simple TlUsholder Name 1 I Owner Phone Number I <br /> Fee Simple Titleholder Address� I <br /> JOB ADDRESS I . t J? 2 O 1 ST ,s+-, . I LOT # ( <br /> SUBDIVISION 1 I PARCEL. w# 1 1" - ;G - ZI - le f° -- b 9 10 e - 061 b I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADD/ALT n SIGN O MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE O SFR E COMM Q OTHER I <br /> TYPE OF CONSTRUCTION I=3 BLOCK n FRAME 1 1 STEEL O OTHER I I <br /> DESCRIPTION OF woes I -Z / ,co i- c iati/ SYs1 v I <br /> BUILDING SIZE I 1 SQ FOOTAGE 1 I HEIGHT I I <br /> ot tUtak , lkltata.CfatkIYIINIitIFIg taiMik1'ke154i7i INIMcallitMINt75 OMMi3glt}_tki5riNifillEtt.etig ly:] 1,4 11Alit6: l! VOiHINPAp63 tffkE!! M' SeItigtV11441€ 7# 1,1 Il tfe00.9111:14ti24tIlis ;4.gliti il0,i4t £ trIC ;g,..,IVIia. <br /> O BUILDING IS <br /> VALUATION OF TOTAL CONSTRUCTION <br /> Ii ELECTRICAL S I AMP SERVICE n <br /> ( PROGRESS ENERGY O W R.E.C. <br /> El PLUMBING IS ( <br /> El MECHANICAL IS I VALUATION OF MECHANICAL INSTALLATION <br /> El GAS Q ROOFING I SPECIALTY I:=1 OTHER <br /> FINISHED FLOOR ELEVATIONS I <br /> 1 FLOOD ZONE AREA I:=YES ONO <br /> NM€& gIIIBIIII? EIMEIiMI: 9: 1IMIIIIRiMAIIIkilRMNIlI4kIIMIXIIIi SMAIEMiMIMAXIMMI ",SkiMUMIMMEININMIMAIIIIIIM ;3IMIXkEellkIIIIMMIIIM IRIM "MMIUMi11 AIMIMPARMEMIIM MINSMEBIMIMIMMI!tl <br /> BUILDER I COMPANY I I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I I License* I / / <br /> ELECTRICIAN ^G % / COMPANY I 7 C(&55 '117. e <br /> SIGNATURE � / REGISTERED I Y/ N I FEE CURRENT I Y/ / N N I <br /> Address I f fc ( (/ J[y�T/�{ I License # <br /> 0 4q 4, <br /> PLUMBER I COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I I <br /> Address I I License # I <br /> MECHANICAL I COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I I <br /> Address I I License* I -- I <br /> OTHER <br /> .�,./ COMPANY J� /�Q <br /> SIGNATURE ,�` REGISTERED ( � � Y ! N }! `�jl : r>�r) /I( f <br /> FEE CURRENT 1 Y/N <br /> Address I J.Y X5 / -7t/ ^ , � License it I I <br /> OPIAINIAINSIM iIKAMMI M MR;IOXIMM II3MIXAMI MMMINII RIRIM INIMIR MASMIniIIIIIIMM N IVIPH NIPAIMIIIIMAIMIIIIMAI OM MIRir>MAIIMAIIIIMtiIAMIIIIIMM IPINIAM MINI€IBSdARIMIAMMM <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bulking Plans; (1) set of Energy Farms <br /> Mirrrralm ten (10) working days after submittal dale. Required oneite. Construction Plans, Sanitary Fariiies & 1 <br /> COMMERCIAL Attach (3) sets of Baling Plans; (1) set of Energy Forms. d <br /> Minimum ten (10) working days alter submittal dab. Required orsi1e. Construction Plans, Sanitary FaaTities & 1 danpster <br /> Al commercial requirements must meet compliance. <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction <br /> IMIllleis Iii saiallori$mali4itassibinMMM.NL insierime sierba earn blestamiorraiirmaissirisscrin isai sninMi trisistsitirEH!3 sast'Tilisca irami IsannIMBISMsniRIresi[ <br /> Directions: <br /> Fdl out application completely. <br /> Owner & Contractor sign back of application. notarized <br /> H over $2600, a Notice of Commencement la required, (A/C upgrades over 56000) <br /> Agent (for the cormac or) or Power of Attorney (fa the owner) would be someone with notarized letter from owner aulhorizirg same <br /> OVER THE COUNTER PERMITTING (Front of Appicaton Only) <br /> Reroots Sewers Service Upgrades A/C Fences (Prot/Survey/Footage) <br /> Driveways -Not over Counter if on pubic roedways..needs ROW <br />