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a��-�ao-oozo City of Zephyrhills Permit Application r1 _��p` Fax-813-780-0021 <br /> Building Department LfZ <br /> , <br /> Date Received ') (o p� Phone Co tact for Permfttln � �� � �'1 - ����p <br /> Owners Name 1�- n�Cc� �pn k. �✓r C• Owner Phone Number '0�3 [ ��' Q�z� <br /> /� � <br /> Owners Address l� ��. � Owner Phone Number i <br /> t <br /> Fee Slmple TRleholder Name � Owner Phone Number <br /> I . <br /> f <br /> Fee Slmple Titleholder Address <br /> � <br /> � <br /> JOB ADDRESS ��jq ��ZSL�� � —� I-��' LOT# � <br /> SUBDIVISION �!',�}Wpp l�45(� � PARCEL ID$ �Z'2�'Z f -�` d( `v r.d 2 0 C�O^ [�Q� d <br /> (OBTAINED FROM PROPERTY TA7(NOTICE) <br /> s`� <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT �� SIGN ; Q MOVE Q DEMOLISH <br /> INSTALL REPAIR ;: <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q OTHER <br /> / �^ r� ri �� <br /> DESCRIPTION OF WORK b U✓'1. �- Ip� �p,�QS (p' r �� <br /> Y <br /> BUILDINO SIZE 3Q FOOTAGE ` b�� HEIGFIT �.r� �Q .S-{vC' <br /> � �; . <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AM I SERVICE �'j E PROGRESS ENERGY Q W.R.E.C. <br /> `� <br /> � PLUMBING $ , n "',` ` =' <br /> , f �- �,,NoC�:�� c�:c�-��`�� <br /> � MECHANICAL $ • VAL ATION OF MECHANICAL INSTALLATION ��;=`�.I���j. <br /> �:. . . <br /> 1` -:�..�:';�a,f; <br /> ' ��'�le�k¢°ic�:l"_ <br /> Q GAS � ROOFING Q SPECIALTY Q OTHER � ?r.T�,t�C;�/�IC �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES �NO ,. <br /> - ��M ��u ���lb(� <br /> , „ <br /> BUILDER COMPANY G` ,�S�+. h C . <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address I License� <br /> � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/�N <br /> Address � I � License# <br /> PWMBER ' COMPANY S1�t�+r1,�S W �i S <br /> SIGNATURE REGISIERED Y/ N FEE CURRENT Y/N <br /> Address I License# <br /> 4 <br /> MECHANICAL "" COMPANY �4cc�e/'t� � r,�- <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address I License# <br /> � � <br /> OTHER COMPANY /�,� ."' p ,° <br /> SIGNATURE - REGISTERED Y/ N FEE CUR Nr Y/N <br /> Address I <br /> � License� <br /> RESIDENTIAL Attach(2)Plot Plans;.(2)sets of Building Plans;(1)set of Energy Fortns g <br />_ _ Minimum ten(10)working days efter submittal date.l Requfred onsite,Construction Plans,Sanitary Fadlities 81 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,Construdlon Pians,Sanitary Faalibes 81 dumpster__ <br /> All commerdal requirements must meet compliance.l <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. � <br /> """PROPERTY SURVEY required for all NEW construction. � , <br /> Directlons: . <br /> Fili out appiica6on compietely. ,, <br /> Owner 8�Contractor sign back of applicafion,ndtarized <br /> If over 52600,a Nodce of Commencement is required. (A/C upgrades over;5000) � � <br /> '" Age�it(for the contractor)or Powe�of Attomey(for the owner)would be someone with notarized letterfrom owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) ' <br /> Driyeways-Not over Counter if on public roadways..needs ROW <br />