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<br /> 813-780 -0020 City of Zephyrhills Permit Application 5 Fax8 - -ooze
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<br /> Building Department
<br /> Date Received ^ i .+27 0 3 �c12
<br /> / Phone Contact for Permitting U t7t)J
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<br /> Owners Name S. 1A.b 1a and I Owner Phone Number @IA-) - I a 3 - 1t
<br /> Owner's Address 4 4 ICI (&I-. I Owner Phone Number
<br /> Fee Simple Titleholder Name I Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS 1+1 49 I E • LOT # 1 q
<br /> SUBDIVISION (r )0 (eS (SJ- I PARCEL ID#I 14 C9I0 '" Q( - Ou (a. 1 D } 0040
<br /> (OBTAINED FROM PROPER TY TAX NOTICE)
<br /> WORK PROPOSED I I NEW CONSTR FK ADD /ALT I I SIGN I I MOVE I I DEMOLISH
<br /> INSTALL REPAIR
<br /> PROPOSED USE I I SFR I 1 COMM I I OTHER I
<br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I / I � STEEL I I OTHER
<br /> DESCRIPTION OF WORK "�'1"""r'e $ � -1. &7e. {-..,r,/ N ' 0_
<br /> BUILDING SIZE 1 I SO FOOTAGE `r A HEIGHT
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<br /> �(, BUILDING $ 5 4 I VALUATION OF TOTAL CONSTRUCTION �' w n
<br /> I 1 ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY I I WR.E.C.
<br /> I I PLUMBING I$ I NO
<br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��
<br /> I I GAS I 1 ROOFING [ 1 SPECIALTY I J OTHER
<br /> FINISHED FLOOR ELEVATIONS I FL'6>aD ZONE AREA 1 IYES 1 INO
<br /> f: ? - :_ r: = !.ti - 3 1..Y - ..... s:,. : ,n l': x.11 y0j 11MIII!LMII ! R! rBIM IEe n P ni gl iT :h_ripen!I?t!IRMIrr.. mhtannlsl!EIM s:: ale ^MISS PTIM=EMEre.)n!;,.�
<br /> f� // /J /' COMPANY +
<br /> BUILDER tt7JJ " TIV 1'e v a. es
<br /> SIGNATURE `%A`S REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I
<br /> Address 1(641:4 Wirmai er( - the & 10 License # I Q1�eo ba5 1
<br /> ELECTRICIAN "" Y' 1 COMPANY 1
<br /> SIGNATURE I' REGISTERED - 1 Y/ N 1 FEE CURRENT I Y / N I
<br /> Address /' 1
<br /> License #
<br /> PLUMBER COMPANY
<br /> SIGNATURE ^// REGISTERED I Y/ N 1 FEE CURRENT I Y/N I
<br /> Address I I
<br /> License #
<br /> MECHANICAL I COMPANY
<br /> SIGNATURE
<br /> REGISTERED REGISTERED I Y/ N 1 FEE CURRENT 1 Y/N 1
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<br /> Address � " ' I License # I
<br /> OTHER COMPANY
<br /> SIGNATURE r�� l REGISTERED I Y/ N 1 FEE CURRENT 1 Y / N I
<br /> Address
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<br /> - - License #
<br /> RES IDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans , set ofm..:n�ti .- •For•• "'a... t,. n.. 7."...°' .. ,,,,, e. ES., E r,..-,., n .1E„..,,.,:..,.,,,ia.. „..,.,;;i ;.,;ci € "..n;,.,..n.,:i3ai.:.
<br /> g , (1) set of Energy Forms
<br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
<br /> COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms.
<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 /> SIGN PERMIT Attach (2) sets of Engineered Plans.
<br /> " SURVEY required for all NEW construction.
<br /> - iriruec ,i;isl?Cp,..-tglImIlli:,• - p"t etf ltii Illigilitinlitli ttleinlifl7glliiil:itti: m /ta= -
<br /> Directions. ... ,.i311ls if Ip- „E, :: !r4:!!� �tltrll! ?sp3i! -19. .!n ,,.a.:.. I. - !
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<br /> Fill out application completely.
<br /> Owner & Contractor sign back of application, notarized
<br /> 0 over 52500, a Notice of Commencement is required. (A /C upgrades over 55000)
<br /> Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
<br /> OVER THE COUNTER PERMITTING (Front of Application Only)
<br /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage)
<br /> Driveways -Not over Counter if on public roadways _needs ROW
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