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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received - <br /> ==s�.w,. ,••• . • - <br /> Phone Contact for Permitting <br /> .,. F <br /> m. <br /> Owner's Name U Owner Phone Number <br /> Owner's Address v V 1S1r1 I��JJ�� ` I QUv Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 1 <br /> JOB ADDRESS \V 2 Yl Di � LOT# <br /> SUBDIVISION W v.��(n C,r �A'cEL ID# I<�LIL- - -Oo3oo- Oo D b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R <br /> ADD/ALT = SIGN MOVE = DEMOLISH <br /> H_ INSTALL REPAIR <br /> PROPOSED USE = SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME Q �STEEL Q OTHER <br /> DESCRIPTION OF WORK JCA Can �� n 1C1A <br /> BUILDING SIZE S4 FOOTAGE HEIGHT <br /> = BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> = ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> = PLUMBING $ <br /> MECHANICAL $ V VALUATION OF MECHANICAL INSTALLATION <br /> = GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES =NO <br /> �m� .• <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <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 <br /> Address i1 License# F <br /> MECHANICAL COMPANY ��� (Z Lr QD ill • V t f-rjkv <br /> SIGNATURE U <br /> " n 1 2� REGISTERED / N FEE CURRENT Y/,N <br /> � <br /> Address o(�� Wr; Ore- l� � Dt ( �v 3(p1 License# <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)work'ing days—after submittal date.�Reyulrea onsife=Construction`Pians,Sanitary Facilities&1 aumpster- <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 /> w _wwi wiwnsw a•,n — •swwav '-raww 5d� wwewwTi� ­WWREV00, wElk.....a mmwpTJAWPY i•,n u, �w a uu _ <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. (A/C upgrades over$5000) <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 (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 />