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� a�s-7so-oo2o City of Zephyrhills Permit Application Fax-813-780-002 �-j� 7� <br /> Building nepartment <br /> � � <br /> 'ved _ <br /> Date Recei Phone Contact for Permitting - <br /> noa�a¢n aaonwflaoeeu�mia � , '�p r � <br /> ar's Name ` �, Owner Phone Number O% �Z- . 7� <br /> Owner's Address �� ) y �. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address � <br /> � LOT# 7Z <br /> JOB ADDRESS , ,`j� 1� J'. r <br /> cUBDIVISION ) 1/P�( S PARCEL ID# ,�— Zlo"Z - Zc� • UvJ•.±,3 - (�7Z� <br /> ' (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT Q SIGN Q MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM �OTHER C-Q ' <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL � OTHER <br /> DESCRIPTION OF WORK � ) �s..�'f g Z" <br /> , <br /> BUILDING SIZE SQ FOOTAGE � � HEIGHT <br /> p <br /> �� BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> Y D�a ��1 <br /> � ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> � PLUMf31NG $ <br /> 0 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br />�� � GAS �r ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES �NO <br /> ��lP��4BA9V�li � n � o i a �9N�9900@�.dtlq3722[ieCt�9 <br /> BUILDER COMPANY ����t� 1 l�t�".�l Yi c. _ <br /> SIGNATURE , � REGISTERED / N FEE CURR T Y N � <br /> Address ��t�� (�� �� �e � �� �J 3�3 License# �((., ��j�,�v`�� <br /> ELECTRICIAN COMPANY <br /> SIGfVATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER COMPAfVY <br />, SIGNATURE REGISTERED Y/ N ; FEE CURRENT Y/N <br /> Address License# �_ <br /> "�ECHANICAL COMPANY <br /> iNATURE REGISTERED Y/ N FEE CURRENT Y!N <br /> Address _ License# � <br /> O7HER COMPANY ' <br />� Slui�i%a�URc RcG�TE°�C � �i i nl FEE CURF.EPJT Y I N <br /> Address License# <br /> 11�03p89�'P41!N�IB�BII�N� � , � ' � ����V���'�� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Eneryy Forms • <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanifary 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 /> � <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 /> -� "� �F 'BV6V'�c WVB9V ° �� � i�9�B9tlV�dG�Ga�VEfE�n'�1� <br /> rections: <br /> Fill out application completely � <br /> Owner&Contractor sign back of application, notarized <br /> If over$2500,a Notice of Commencement is requlred. (A1C upgrades over$5000j <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 (Fron4 of AFplication Only) <br /> Reroofs Sewers Service Upgrades A/G Fences(Plot/Survey/Footage) <br />� { <br /> Driveways-Not over Counter if on public roadways..needs ROW , <br /> I` ' ' ' <br />