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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Racelved Phone Contact for Permitting <br /> --CAC- <br /> Owner's Name Lg Ik 'R c6'.q_ Owner Phone Number <br /> Owner's Address a� Ze.,0ASj,1&d 5 Ft 3S-eP'-/0 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1-72LN j6k(ovJ Qr ZfmktArWits 53 5q 0 LOT# <br /> SUBDIVISION F_ PARCEL ID#135-25-2 OCR- 04000 ONO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F%7-1 ADD/ALT SIGN MOVE DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE = SFR COMM Q OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL OTHER <br /> DESCRIPTION OF WORK G. 0 3 4t2f-\ 14 SW IX V�vl P K&1 0 Kell-16 14 4ne,e (x*&f- <br /> BUILDING SIZE F_ SQ FOOTAGE HEIGHT <br /> L_j BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> 0 <br /> PLUMBING 1$ <br /> MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> GAS = ROOFING = SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES =NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT <br /> Address I License# I - I <br /> ELECTRICIAN COMPANY &ZA:--r Gwjl-:Ionla!5 I <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT TL/N_j <br /> Address <br /> i-).Avo jrgos r& mw License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT L_ILN_j <br /> Address F License# <br /> MECHANICAL COMPANY jkve� A Con,4-j n <br /> SIGNATURE J REGISTERED Y/ N_ FEE CURRENT —1 Y/,N <br /> Address Cry rV0Ptx'&X't)'#1_W&0v6 fl- -6tat i I License# 1C'kC0S0qaq <br /> OTHER COMPANY = <br /> SIGNATURE REGtS7ERE0 Y/ N FEE CURRENT L_j/N <br /> Address License# <br /> RESIDENTIAL Attach(?)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms <br /> Minimum ten(I 0)wqrkIng days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&I dumpster <br /> COMMERCIAL Attach(3)sets ofBuliding Plans;(1)set of Energy Forms. i <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster <br /> All commerclial,reqyiremepts�Must meet compliance. <br /> SIGN PERMIT Attach(2)sets of Engineered PI ans. <br /> *'PROPERTY SURVEY required for all NEW construction. <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 ovee$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(PlottSurvey/Footage) <br /> Driveways-Not over Counter;if,onRubiic roadways..needs ROW <br />