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509 I (420
<br /> 813 -780 -0020 City of Zephyrhills Permit Application Fax - 813 -7 §0 -0021
<br /> ^f Building Department
<br /> /�
<br /> Date Received r / I Phone Contact for Permitting � ( - 1
<br /> . -�r 1.E:..� i ... - ' € €�i � 'f- %!'flal...i� .�.1eF11v {i a.
<br /> Owner's Name ( „ (;n 1 Owner Phone Number �(,� - leis-UN :e=
<br /> Owner's Address 2 i Sq Owner Phone Number
<br /> Fee Simple Titleholder Name Owner Phone Number
<br /> Fee Simple Titleholder Address y�,
<br /> JOB ADDRESS 8 r •1 i &3 ,, a �� 1Y , LOT #
<br /> SUBDIVISION
<br /> �f Qr 31 PARCEL ID# IS dlio - at- olio- Dii ' c:,
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED NEW CONSTR ✓ ADD /ALT I I SIGN I I MOVE I 1 DEMOLISH
<br /> INSTALL REPAIR
<br /> PROPOSED USE I I SFR I I COMM I I OTHER I
<br /> TYPE OF CONSTRUCTION I I / BLOCK I I FRAME 1 STEEL I I OTHER I
<br /> DESCRIPTION OF WORK 'Qoe 3 winda.as size Gize
<br /> BUILDING SIZE SO FOOTAGE HEIGHT
<br /> ......: a
<br /> BUILDING $ , ^ I I
<br /> C VALUATION OF TOTAL CONSTRUCTION
<br /> I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I I W. R. E.C.
<br /> PLUMBING $
<br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
<br /> I GAS 1 1 ROOFING I I SPECIALTY 1 I OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 )YES 1 'NO
<br /> - .::. ... ,, ..,. - !.. a: a!,.)!,[ mmastmf!s wa:! ys!!,: t!! rn! s. sP in,!€!, 9, u:: Stg<.!ra;?. a;;! q+ rran!! f= nlr,!,;;;, ne!,! ISh;!! r,! I@ n{: rc; r,!m)!a;T?;,::a!!,r ::,,,,3..,,
<br /> BUILDER COMPANY
<br /> SIGNATURE REGISTERED 1 Y N I FEE CURRENT I Y / N I
<br /> Address
<br /> License #
<br /> ELECTRICIAN _ COMPANY
<br /> SIGNATURE REGISTERED ' 1 Y/ N 1 FEE CURRENT I Y/N I
<br /> Address
<br /> License #
<br /> PLUMBER COMPANY
<br /> SIGNATURE REGISTERED Y/ N I FEE CURRENT 1 Y / N 1
<br /> Address
<br /> License #
<br /> MECHANICAL COMPANY
<br /> SIGNATURE - REGISTERED I Y/ N I FEE CURRENT I Y / N 1
<br /> Address © License # .
<br /> / f t" COMPANY
<br /> SIGNATURE (
<br /> � l11 /� REGISTERED Y/ N I FEE CURRENT 1 Y/ N I
<br /> Address
<br /> ..; 1 4itetie � ' IWTpc, 343E49 AA {_.. �..� !.� ©! J CV" ' .:n::�re! L.
<br /> RESIDENTIAL Attach (2) Plot Plans; ( 2 ) sets of ( 1) set of Energy o Energy Fo ri gy For m atoia.,..,,, tar ...,,.,,...;< iu: ;Fi•Wi:iiars;::,....,...,.,.. "., ism . „ .............e;i;,....Eii ".. ,,,,,...;::a;'.,.,
<br /> (2) Building Plans; ( Ims ':. �, :. ...,,,,,. ~•:: a' = [n: 'a:
<br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities 8 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 8 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. Directions:
<br /> Fill out application completely.
<br /> Owner 8 Contractor sign back of application, notarized
<br /> 1 over $2500, a Notice of Commencement is required. (A /C upgrades over S5000)
<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 f on public roadways.. needs ROW
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