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7 <br /> � � <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting g �3 (v a� - � ���? <br /> H,. .. ...,,.,pe. ,„ ,,. . �. �. a, <br /> � - <br /> Owner's Name C�`e�� Jfl�-YW-?�s D a bbt`� Owner Phone Number ��3 ' 7 S� - �O '3 3) <br /> Owner's Address 3 'J'��� �D� �'� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3S� y O CP� �v�" �Z� �f1 �-'�h� �t � � �' � 3 �07 LOT# � <br /> SUBDIVISION PARCEL ID# � � � a (a -� 1 � C�cS ! � - 1 S 1�U -v o �U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e WSTA ONSTR � REPAIR � SIGN Q MOVE Q DEMOLISH <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK � FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK � c�K G� O`n l <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> Q ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> Q PLUMBING $ <br />� d MECHANICAL $ u I % VALUATION OF MECHANICAL INSTALLATION �C� 9� � <br /> { � <br /> Q GAS Q ROOFING � SPECIALTY Q OTHER �L� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO ✓ <br /> iir, <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> i 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 � �-1 License# � <br /> � 1I , <br /> MECHANICAL i1 � � �� COMPANY C Y�-�- rr�r 0 n �,��, o n �� <br /> SIGNATURE �� REGISTERED � Y/ N FEE CURRENT Y/,N <br /> Address 3 0 l C 0'r �r�-X �(�-t�{. �r � t 3 0 �/�mPR 3�o�°� License# C �C D S O �f a L( <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,Construction 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 /> ��a ,P- �a�io u:m-� n�o�u� �.� -a�� �i� — �-G�6�sFy�srx, m�a <br /> D�rections: <br /> Fill out application completely <br /> Owner&Contractor sign back of applicaGon,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C 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 />