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���-a3�►� <br /> sis-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 ���`� <br /> Bwlding Department � J <br /> Date Received � �/ tt a <br /> ,� �r:��t�a�»,,.,.;.._,,.._....: •--'--�-� ...::,- ' - - - - - - - - - ° �;:� �9'rt ��..�. .-�."�"..^..�.T..",..�.�i,�Gs. 3 ...m-, - - - _ -, _ - ,r.'e <br /> Phone Conta_ ct for Pertn �� � v <br /> _ . . . .. ... o- �Hi�.ff}t�. sr . ...� -...... � n .. <br /> . • .. =-..�n . n. .� . . -._..... ':r���..a.:f..n � <br /> Owner's Name Owner Phone Number � ��(/�f v� <br /> Owners Address �"1 � � Ownef Phone Numbef <br /> Fee Simple Titleholder Name � Owner Phone Number f <br /> Fee Simple 7itleholder Address <br /> JOB ADDRESS � LOT # 4- to <br /> SUBDIVISION �— PARCEL ID# II� 'p( .. 1 ��u <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NSTALONSTR � RDD/�A � SIGN � MOVE O DEMOLISH <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � OTHER �--� <br /> DESCRIPTION OF WORK � � � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> :::ci?<::-i:q:::::.:n :5:e.m.-::n:;:yf1:-,ie:ARiF:F� m:Ni`r.isi11F6s�9�H?qa1�f3Np5�ieir'inNlii9fih'7!`r€Bimieii�:9i�:N911?!iC'm`Fiinn3k�il1.'si3lil:iiiFv`niik43e!iF4N#e:iriGiSi:3?is::a:3iSt:lir.ii��i;f:;i:i�ii�FineiF'v'smiii�hi#�'e?ri�-iFm`.�'i�iiRR,•iBii`v?69k�mel�f'ilr+.iini3i <br /> � BUILDING $ ��'j VALUATION OF TOTAL CONSTRUCTION <br /> .J <br /> � ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W R E.C. <br /> � PLUMBING $ / <br /> �(1 V <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � v <br /> � GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES �NO <br /> � .;;..::::::�.::: _......_�..._.. -.•-' ix=:: ;` - � �H�::�±3r@€�L^iba•E� - ��r- - <br /> .: ...._`._'. ._. :.:Rr�:-�: .�� .,;:� :.. ..� .'n��'"r`.� . � �� � „ 63::� � Il.f� � .,: �lE9lE�:8�:,�S�v.B�E''���Si:E:�S�::s:::_�:E_33!�ESS�:s �i_!?;n t - r r,,, <br /> �y' ._... . ��,_ S.SiE�tBirii�.� . :S�3S�ii?�e:�=tksr�..r..._n `� <br /> BUILDER � COMPANY / .�� � OP�� SC�'� V� C� <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y� N <br /> Address K Ise � � Iff L 3 � License# � C <br /> ELECTRICIAN COMPANY —� <br /> SIGNATURE REGISTERED Y/ N FEECURRENT Y1N <br /> Address License # <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISiEREO Y/ N FEE CURRENT Y/ N <br /> Add ress License 11 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURRENT Y! N <br /> Add ress License # <br /> OTHER COMPANY �— <br /> SIGNATURE REGISTERED Y/ N FEECURRENT Y/N <br /> Address License # <br /> .. ................ :.:::::::.::::�::::::r.::::�::_:::�c�::�:a:e:�::e::er.a3:=::ea�:::-•:e•:3: i �.,..� � <br /> ... ............. f s�..���,.�.,,41.li�aFa3c3�4Jod.� M ..�:...:,...._.w�...... r .......�.... <br /> .... .,..�..� ..............._.... ._,............ .. <br /> .. ... .... ... ... ... .....�. ........ .... ....... .....�,�.............�...... ....x;T•::a::::o3:r.r.oa?o:.^.uia;:r•?i:ai.:. k:� a::::.::::.::::�:: ::.;.:n:.v...�........_......... �..x.... ........ .,....:FY:•,s:E:7i^:: � ��ee°i!ii-i <br /> ... .. . _•feL•. :f-x:r.:e: :::. �:.�.:::e:e: <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans, (1) set of Energy Forms <br /> Minimum ten (10) wnrking days after submittal date. Required onsite, Construdion Plans, Sanitary Faalities & 1 dumpster <br /> COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. <br /> Mmimum ten (10) working days after submittal date. Reqwred onsite, Construdion Plans, Sandary Facil�ties & 1 dumpster <br /> Alt commeraal reqwrements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY reqwred for all NEW construction. <br /> -- ---,:�.-.:_:.:_, — .._ <br /> ... ... .... .... .. <br /> :....:.�.::: - ::..::::�..;::�,::: .'. ...,.. : €ai?:K:li:€�i:iElik:S ���.i;i'�!Yi:i: i`� - , - � <br /> _..__'_ _ ... .... :.:...... ...: -••m..,�..� ... , ��.�:E...:.: F,,; _ _ _ _ _ _ _ _ _ <br /> _. . .. _ _. _ ._ ._ , �.�.�..���3�9»:�I31it:t:lE�..:ld�g:�.�.»�.�..�...<„<,..5sii;iL.���.�..,.�.����._.»�a._�a� _ _ _ _ _ _ <br /> . m, ::.a:�g.��,r.:.,::: :. .'_ <br /> Directi on s: ,�._..r�_.,...�..---��.,...�.,.,�:s:.;.,.-'---.,_ ..............� .. .....c.�,.mi"s�i��.;..,..,__'.;:5 <br /> Fill out applica6on 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 Attomey (for the owner) would be someone wRh notar¢ed letter from owner author¢ing same <br /> OVER THE COUNTER PERMITTING (Front of Application Onty) <br /> Reroofs Sewers Service Upgrades A/C Fences (PIoUSurveylFootage) <br /> �nveways-Not over Counter rf on public roadways. needs ROW <br />