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..--�.-- . <br /> x' <br /> �. <br /> ' s�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received (�� � 0 1.,— a 4 1(p Phone Gon2act far PermiYting CI � � �° a� — � ���''" <br /> Owner's Name ��M C��Q 0 d v�4�+'�-f-S � 8 a Q��� Owner Phone Num6er V�a� �$ � � �� 3 � <br /> Owner's Address 3�5 �� o '��n �V"e Owner Phona Number �� � <br /> Fee Simple Titleholder Name Owner Phone Number � � <br /> Fee Simple 7itlehalder Address <br /> JOS AdDRESS 3��L�$ (p'f'�t �-r�$ 'Z.��h Y"�i 1� cS� � 1 3 35�t� LOT# [_,� <br /> StlBDIVISION �— ( PARCEI.tD# �� '" �iv �a I ~ b O t b — t�$'1 ot3 — p p 1 D <br /> (QBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPQSED e NEW G{7NSTR [� ADDIALT � SIGN Q tuidVE � DEMt}�lSH <br /> INSTALL 0 REPAIR <br /> PROPOSED USE Q $FR � COMM Q OTNER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER <br /> DESCRIPTIONOFWORK � I� l a o?. 5 �-°ri 1� Se.-+�.r t/P �n-i i�C.�1�.1 j`7�3-C.�- , �. �(,n� � <br /> BUIi.DING SIZE �—,, , � SQ FOOTAGE C_� HEIGHT �_� <br /> � BUILDIt*1G [� � VA�UATION OF TOTA�GONSTRt1CT10N <br /> � <br /> Q ELECTRIGAL � � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � PI.UMBING ($ � �/�/}�� <br /> � 1 iI <br /> � L � <br /> MECHANICAL $ ����y Qd � VALUA710N OF MECHANICAL INSTALLATION <br /> Q GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOf2 E�EVATIOh1S �� FLOOD ZONE AREA QYES QNO <br /> � - �. � � �� <br /> BUlLDER COMPANY <br /> SiGNA7URE REGIS7ERED Y/ N FEE CURRENT Y I N <br /> Address �� License# �� � <br /> ELECTRICIAN COMPANY <br /> SIGNATtJRE REG{STERED Y/ N FEE CURRENT Y/N <br /> Address License# � � <br /> PLUMBER COMPANY <br /> S[GNATLlRE REGISTEftED Y J Rt FEE CURRENT Y I N <br /> Address �� � 1 License# � � <br /> �— <br /> MECHANICAL �"' � r-� "'�� COMPANY ��'r"�''L ��� C OY1 c�� �"'!d`�1 I� <br /> SIGNATUFtE � REGiSTERED Y I N FEE CURF2ENT Y I,N <br /> Address �J g�� Co( Of'c T A-t(�. ,�{ �1�(') �*v,Q{� �� L�J License# C Pr C o S o�a y <br /> OTHER COMPANY <br /> StGNATURE REGISTERED Y 1 N FEE CURREMT Y I N <br /> Address License# ���� ', <br /> RE5IDENTIAL 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,Construction Plans,Sanitary Facilities&1 dumpster <br /> COMMERGIAL Attach{3}sets af Building Plans;(1)set af 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 /> SIGhi PERMIT Attach(2)sets of Engineered Plans. <br /> "***PROPERTY SURVEY required for all NEW construction. <br /> �� � u��., �� ��.,� � �-� � _ �� _ � � � � � �� <br /> Direcfions: <br /> Fill out application completely <br /> Owner&Gontractor slgn back af applicatian,natarized <br /> If aver$2500,a Notice of Commsncement is required. (A/C upgrades over$5000) <br /> " Agent(for the contractar)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE CdUhiTER PERMITTING (Front of Applicatian ONy) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIaUSurvey/Footage) <br /> driveways-No#over Counter if on public roadways..needs ROW <br />