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—�---- _ _ <br /> 813-780-OQ20 City of Zephyrhills Permit Application Fax-813:784-00-2-1 <br /> ` � ' _ . Building Department �---LL.L�, �� <br /> Oate Received phQne Gontact for Permitting <br /> ue��a�uuumuw�u - .°m <br /> �r's Name � ` Owner Phone Number c`�,�� � �.- 3�f <br /> Owner's Address ,J '7 i �3���� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Nurober � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J�S U ' G LOT# �� <br /> :'UBpIVISION .� � ' 3 PARCEt�ID# � ` " Z � � ' 'P l.�-� ` �J <br /> (OBTAINED FRpM PROPERTY TAX NOTIC�) <br /> WORK PROPOSED � NSTAL��STR �r � REP AR � �1�� Q �OVE Q DEMO�ISN <br /> _.,_J <br /> PROPOSED USE � SFR � CONiM Q QTFiER �.-Q <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEI. Q C7THER �~ —� <br /> DESCRIPTIQN OF WORK � � C - �..+� f2l�' S. � � `�^ <br /> BUILpING SIZE SQ FOOTAGE ��j������ HEIGHT E�� <br /> 9 � � � <br /> � BUILDING $ VALUATION OF TOTAL CQNSTRUCTION <br /> � � l� � <br /> � EL.ECTRICAL ($ ^ � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> i <br /> �J PLUMBING � � <br /> � MECHANICAL � � VALUATION OF MECHANICAL INSTALLATION � <br /> � GAS � ROOFiNG � SPECIALTY � OTHER <br /> FINIStiED F�OOft E�EVATIQNS � � FLOOD ZON�AREA OYES �NQ <br /> + " �V�C�VYII�V�Y <br /> BUILDER � { 2" � COMPANY I�II��.� 1 l��;GLkLC,,..__�� � <br /> SlGltlATllRE REGtSTEREO 1 N FEE CURR NT Y N � <br /> Address �"�J9�� (,�� ^�� �C�2 �� �I 3�fS�� . License# �,,,(�., (��'")i��Z„ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE ftEGlSTEREp Y/ N FEE GURRENT Y 1 N <br /> Address License# � � <br /> PLUMBER � CQMPANY <br /> SIGNATURE REGiSTERED Y 1 Rl , FEE GURRERfT Y!N <br /> Address License# �^ � <br /> "AEGNANICAL COMPANY <br /> 3NATURE RE�ISTEREO Y I N FEE CURRENT Y 1 N <br /> Address License# � � <br /> OTMER � COMPANY <br /> S��si�ia i URc RcGSS:'ER�� Y I �`: FEE CUftP.�NT Y J N <br /> Address �License# � � <br /> C�9?��"�4�9�8'�7:'�C19'�9 ' � p B ��9�C�'a' ��V9VI� <br /> RESIDEIUTIAL Attach(2)Plot Plans;(2)sets�of Building Plans;{1)set of kneryy Forms <br /> Minimum ten(10}working days after su5miftal date. Reguired onsi#e,Gonstruction Plans,Sanitary Facitities&1 dumpster <br /> COMMERCIAL Attaoh(3)sets of Building Plans;(1)set of Energy Farms. <br /> Minimum ten(9d}warking days after submitta!date. Required onsite,Constructian Pians,Sanitary Facilities&1 dumpster <br /> Ail commerciaf requir�ments must meet compliance. { <br /> SIGN PERMIT Attach(2)sets of Engineered Plans, <br /> ' '*"*PROPERI'Y SUR�tEY required for all NEW canstruction. � <br /> "°o� iB�Bl�V61W�V�7V�69G9899VI�BVB�V�V0tlV909 <br /> rections; <br /> Fil1 out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$250Q a Notice of Commencement is required. (A/C upgrades over$5000� <br /> •' Agent(for the contractar)or Power of Attorney(for tfie owner)would be someone with notarized letter from owner authorizing same � <br /> OV�R 7'HE GOUNTER PERMlTTlNG (Fro�f of A�plication Only� ' <br /> Reroofs Sewers Service Upgrades AlC Fences(PtoflSurveylFootage} <br /> Driveways-Not aver Caun#er if or�public roadways..needs ROW <br />