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47 26 1 <br /> 813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received V Phone Contact for Permitting 1 a __ :2,�q <br /> Owners Name Q 'S/�` J c ^ Owner Phone Number 1. 1 - 1 Le 2 <br /> Owners Address 9 Le Z 2, ' 1 pett y.,ci Owner Phone Number <br /> Fee Simple Titleholder Name (........ Owner Phone Number <br /> Fee Simple Titleholder Address ----------- <br /> 4 <br /> JOB ADDRESS 1 � (p 2 3 & LOT# SC\ <br /> SUBDIVISION x _J ,0 PARCEL ID# 13 z( en LI 0 Pi op SIO <br /> TTT"^ (_ (OBTAIN FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I SIGN Li MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK {y �RAME 1 I STEEL I I OTHER I I <br /> DESCRIPTION OF WORK � LA:-) CAP a �� k ,P d w� � c , ' o f re <br /> Q a <br /> BUILDING SIZE ( j 6 S FOOTAGE 1 I ] 2- HEIGHT <br /> 14 $ A g L� VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ � S, AMP SERVICE I 1 PROGRESS ENERGY I W.R.E.0 <br /> I 1 PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS I I ROOFAVG I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO AREA DYES I1NO 1 \ Ic <br /> BUILDER �\� Y . I ' COMPANY �t� <br /> SIGNATURE 1 REGISTERED I / N I FEE CURRENT I Y/ N I <br /> Address <br /> License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address <br /> 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN! 1 Y/ N I <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address <br /> License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br /> Minimum ten (10) worling 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) worling days after submittal date. Required o Constructioryplans, Sanitary Facilities 1 mpster <br /> All commercial requirements must meet compliance. ! <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. A <br /> ****PROPERTY SURVEY requYed for all NEW construction. _,P , <br /> Directims: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement isrequired. (A /C upgrades o'er $5000; <br /> Agent (for the contractor) or Power of Attorney (for the owner) woutl be someone wth notar letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Driveways Fences (Plot/Survey/Footage) <br />