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81$ -180 -0020 City of Zephyrhills Permit Application Fax- 813 - 780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> ier's Name <br /> Owner Phone Number <br /> Owner's Address ME ,11111.11/N Owner Phone Number <br /> Fee Simple Titleholder Name 1 )1% Owner Phone Number <br /> Fee Simple Titleholder Address }J IP <br /> JOB ADDRESS Url j -Y- AveintoX . 7(h\ t.„ LOT# !, Z, 3 <br /> SUBDIVISION PARCEL ID# I <br /> i..h <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL RE PAI <br /> PROPOSED USE Q SFR n COMM I✓r OTHER I ' . <br /> TYPE OF CONSTRUCTION n BLOCK 1 1 FRAME n STEEL n OTHER <br /> DESCRIPTION OF WORK hwtl� �0 1� ASS+ (the .� n�t� �1 X� 25 ZJ < ��l �vv� fl.-* 54 -1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT I <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 ( W.R.E.C. <br /> r <br /> PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING 1 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA FIVES [ NO <br /> g,H{tp� <br /> SIGNATURE �/ /'�/ COMPANY f r t � � r.S�l� l�l�'1a71' I,tCTI D �r <br /> (�/( REGISTERED N FEE CURRENT KA N <br /> Address I 1 5 0 0 1 (4 & 1 Q C G i l l 3 3 3 License # I l OEW5 g, <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N <br /> Address I License # • <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address I License # <br /> MECHANICAL COMPANY <br /> r EiNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N <br /> Address I 1 License # I <br /> OTHER COMPANY 1 <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y / N 1 <br /> Address I 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 /> rections: <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 /Fbotage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />