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' 813-780-0020 , City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � -� Building Department <br /> Date Received � � � � �d l'�J Phone Contact for Permitting g�3 �a� � ��� <br /> �_���^��� .� ., .,:.��,,., .,.-,;„�. ., . . .- -- -- --°- - <br /> �,,,, .. ,.,.,..r„�. , „ „ ..,.,.. , .. , p_�.�.r� � ., � <br /> ' � � 3 505-- �y�o <br /> Owner's Name ��C•�-Q,�( L-(�,�-Q, � Owner Phone Number f <br /> Owner's Address ✓�� � �`Q e�' � �� Owner Phone Number <br /> Fee Simple Titleholder Name �I� Owner Phone Number <br /> Fee Simple Titleholder Address N�� <br /> JOB ADDRESS cI � � ���-C� S� LOT# �� <br /> SUBDIVISION PARCEL ID# � o�'���°� � r�°��O�b j O(� — v ��b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR � ADD/ALT � SIGN Q MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR 0 COMM Q OTHER <br /> ' TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK ��I u t�'� C h 0� 1 �"S+�� �� �'�'� ' 1�° <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> � BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> Q ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> Q PLUMBING $ ���v <br /> � �` <br /> MECHANICAL $ �O�O epC7 VALUATION OF MECHANICAL INSTALLATION <br /> � GAS � ROOFING 0 SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES I J�NO <br /> �� <br /> �� � - - � � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> ' �i <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address � i � � License# � <br /> � I . <br /> MECHANICAL `� ( � I � r COMPANY �r'e`� �� � C O rl tl �����C� <br /> SIGNATURE v �/ REGISTERED Y N FEE CURRENT Y/,N <br /> Address J U� 1 C O� l�f P.-K PA-� 1� �-.�( ��i�� License# �� ��S��1 a� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsVuction 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 /> *'*'PROPERTY SURVEY required for all NEW construction. <br /> 'B'iJ L 'tlC�A'�� ':$Y I�. I :�I��.a"9 91 I �6 9�R:: �B�"v'S'169��5:��5A� 'I �9�m.�R€df3 89�'- �9@ .°.'.tl9 '°5s .klk'6&l �".feMsE��� €iA�9C ',31� <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />