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813 - 780-0020 City of Zephyrhills Permit Application Fax -813- 780-0021 <br /> 21 V b Building Department , J . �) 5(f 3 <br /> Date Received ( jl (/ BEMIIIIII Phone Contact for Permitting - J <br /> Owner's Name u •. II O f m., = owner Phone Number Is t 3 "Vie 1 5 � 4. . �- ., <br /> (•( <br /> Owners Address 1 5 VI N 1 2,11 Sq _ I Owner Phone Number) yf S. - 71 Y 56 5 Y' 141 <br /> Fee Simple Titleholder Name I I Owner Phone Number I Sr f 3 ...711 (,5 9 I <br /> Fee Simple Titleholder Address I �/ N <br /> —JOB ADDRESS 1 swig ( � fp � I r i J R 335`J Z- 1 LOT# I11 18 I+ $4.J�. t , 19 <br /> SUBDIVISION 1 PARCEL ID# I I I 2(p'_ 24 - c o o -• O J 2 c (j t 7 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED C NEW CONSTR I ADD /ALT SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR COMM n OTHER 1 I <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME n STEEL rI OTHER I I <br /> DESCRIPTION OF WORK I A D Q ;MOM I <br /> BUILDING SIZE I So FOOTAGE I 7' I.O 1 HEIGHT I <br /> BUILDING ( VALUATION OF TOTAL CONSTRUCTION <br /> 5vc,6 bo <br /> i c.4 ELECTRICAL IS AMP SERVICE n PROGRESS ENERGY Q W.R.E. . <br /> L h --r PLUMBING I$ N U C. ,( <br /> - rj} MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION f--n'Z ti C -L(Y�I 11 <br /> n GAS n ROOFING n SPECIALTY 1 OTHER 2 p r a -/ <br /> h5 <br /> FINISHED FLOOR ELEVATIONS 1 FLOOD ZONE AREA r1YES QNO LQ, �2 . t,,z. <br /> BUILDER rk , � COMPANY Ic,,c�e. C). SATURE / Vr REGISTERED I Y / N I FEE CURRENT 1 Y / N <br /> Address 1 1 License # 1 <br /> ELECTRICIAN 7 j COMPANY I . 0 L-R. > 1� -- <br /> SIGNATURE _ REGISTERED Y/ N FEE CURRENT I Y / N I <br /> Address I <br /> ���'"� // /� /// 1 License # ) <br /> PLUMBER 7 / / COMPANY I 1 ¥ / N J _ CU _`�1� <br /> SIGNATURE / ` / REGISTERED Y / N FEE CURRENT I Y / N <br /> Address 1 License # I �r <br /> MECHANICAL ... <br /> ILL.? COMPANY 40.11 .s A/CF a v. �sAS £ A/L I <br /> SIGNATURE R EGISTERED Y 1 N I FEE E)RR ENT I Y/ N <br /> Address 1 'v A y' /A- y to /#4yd4.. • <br /> License# c OYJ? Yst <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED I Y 1 N I FEE CURRENT I Y/ N I <br /> Address 1 <br /> 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 dwnpster <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 /> , <br /> Directions: .,. _... x <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over 62500, 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 />