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6?y <br /> 813-780-0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received � <br /> "0 Phone Contact for Permitting a 35 -- 00 3:& 4t/O Lf <br /> almenassui <br /> Owner's Name tl l fl P\ ,o TO N Owner Phone Number 8/3 4g' a 81. y L1 <br /> Owner's Address 5-C I 0 1 L 5/ Owner Phone Number <br /> Fee Simple Titleholder Name J A Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5 I / 0 ` ,...s. LOT # <br /> SUBDIVISION PARCEL ID# 1 (ak' 001 0 (9 co 005 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT –- SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 1 1 COMM n OTHER I <br /> TYPE OF CONSTRUCTION K 1 I FRAME I I STEEL n OTHER I I <br /> DESCRIPTION OF WORK 9 (AJ I u gip L-- I S (2..€ -Fo . Si ,c <br /> BUILDING SIZE FOOT • t - HEIGHT <br /> I 1 BUILDING $ 1 I ,3 I ' ALUATION OF TOTAL CONSTRUCTION <br /> I] ELECTRICAL $ AMP SERVICE n PROGRESS ENERGY I W.R.E.C. <br /> n PLUMBING $ <br /> I] MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION <br /> 1 <br /> I I GAS IT ROOFING I 1 SPECIALTY I OTHER <br /> FINISHED ELEVATIONS �� <br /> FLOOR ELEVA n 2 I, <br /> D ZONE AREA YES NO <br /> B U I L D ER COMPANY '3.... ,, � • (M W I.vQot-' s f 099 S <br /> SIGNATURE = ;� REGISTERED \/' N FEE CURRENT 1 Y / N I <br /> Address 5 ?33 Lk-(! L \ c-(!-e__ ((_ €Qc..M1'� License # 6- C 13 I IL( Q 5(, $ 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address [ <br /> License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y / N I <br /> Address License # <br /> OTHER <br /> COMPANY <br /> SIGNATURE <br /> REGISTERED 1 Y/ N I FEE CURRENT 1 Y / N I <br /> Address 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 /> 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 />