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,� s�s-7ao-oozo� , � City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Qate Received (,� � � �� phone Contact for Permitting �t� �� � – j��� <br /> Owner's Name �1 S C��""t(� �.` { 1'�- Qwner Phone Number R� � J °��3� � 5 d.� <br /> Owner's Address � a ��`I M�� � ��� Owner Phone Number �— � <br /> Fee Simple Titleholder Namo Owner Phone Number �� � <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �7�0�� ��tl �'1��� ��� L07'# ��� <br /> SUBDIVtStON �— � PARGELID# 3�"� J`�J��°� ' �"a��o - o�aoo ~ 3��� <br /> (OBTAINED FROM PROPERTY 7AX NOTICE) <br /> W4FZK PROP{}SED e NEW CONSTR � ADDIALT Q S{GN Q P110VE Q OEMOL{SH <br /> INS7ALL REPAIR <br /> PROPOSED USE Q SFF2 Q C4MM Q QTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER <br /> DESCRIPT{QN dF WORK ����`I �� �-� ✓t�'n � ��°� � <br /> BU{LDING SIZE �_---r� 5G2 FOOTAGE ���� 1�iEtGHT C—______� <br /> � SUI�DlNG � � VALUATIdN QF TOTA�C4NSTRUCTI4N <br /> Q E�ECTRICAL � � RMP SERVlCE Q PROGRESS ENERGY Q W.R.E.C. <br /> Q PLUMBlNG ($ � ����(p� <br /> � <br /> � MECHANICAL ��,!��y, D v � VALUA1"ION OF MECHANICAL INSTALLATION <br /> :� 1 <br /> � GAS Q RQOFING � SPECIALTY Q 07HER <br /> FINISHED FLOOR EL.EVATIONS ��I FLOOD ZONE AREA DYES QNO <br /> � <br /> � � - - - - - <br /> BUILDER COMPANY <br /> SIGNATURE REGiS7ERED Y/ I�l FEE CURRENT Y I N <br /> Address license# � � <br /> ELECTR{CIAN COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRENT Y 1 N <br /> Address License# � � <br /> ALUMSER COMPANY <br /> SIGNATURE REGtSTERE4 Y 1 N FEE CURRENT '{I N <br /> Address � �� License# �� � <br /> MECHANICAL � -� � COMPANY ���"`�� 17"i 1 C C7 n �� ��0 1'1� <br /> SIGNATURE REGtSTERED 1 N �EE GURRENT Y/,�l <br /> Address ��?� 1 C O� �fJ��jc �!9-�( � k.�t �'" l 3 d License# V r� 1.., � G ��1 r ri <br /> 07HER COMPANY <br /> SIGNATllRE REGtSTEftED Y I N FEE CtJRRENT Y I N <br /> Address License# � � <br /> ��� <br /> �'�°"°�° ��S�r - <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms <br /> tutinimum ten{10}wa�king days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster <br /> COMMERCIAL Aftach(3)sets of 8uilding Plans;(1}set of Energy Forms. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster <br /> A(1 commercial requirements must meet campliance. <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> **"PROPERTY SURVEY required for all NEW construction. <br /> a , � . � � � �-� �� -��m�._ . _ _� �� <br /> Directions: <br /> Fill out application completely. <br /> dwner&Gontractor sign back of application,natarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$5000) <br /> ** Agent(for the contractor)or Power of Attomey(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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />