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� ais-; so-oo20 . City of Zephyrhills Permit Application Fax-81 - 0 � <br /> Building Department �'33 � <br /> Date Received <br /> Phone Contact for Permitting -- <br /> ier's Name J� Owner Phone Number � Z,y <br /> Owner's Address � � Owner Phone Number � <br /> Fee Simple Titleholder Name �.1 Owner Phone Number � <br /> Fee Simple Titleholder Address 1�( 1�I�K � <br /> JOB ADDRESS ��\ ��( Z LOT # � <br /> SUBDIVISION ��(1 t PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT � SIGN � MOVE Q DEMOLISH <br /> INSTALL REPAIR L�'T�Z �Sl <br /> T�1a <br /> PROPOSED USE Q SFR Q COMM Q OTHER 'RC-QO(� L 7a¢�.2 <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL O OTHER <br /> DESCRIPTION OF WORK � It �� d.Y <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �� BUILDING � r/� VALUATION OF TOTAL CONSTRUCTION <br /> La3� <br /> � ELECTRICAL $ � AMP SERVICE 0 PROGRESS ENERGY � W.R.E.0 <br /> � PLUMBING $ <br /> � MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> � <br /> � GAS �� ROOFING � SPECIALTY O OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES QNO <br /> BUILDER ! ' // COMPANY rnI� VtZC ��,�_,y�L_ <br /> SIGNATURE �L REGISTERED / N FEE CURR T Y N � <br /> Address � �r't j � (�� �� .L..C�e C� �� 3 3 License # �(.�. ��L `jv`� Z <br /> ELECTRICIAN COMPANY • <br /> SIGNATURE � REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � � <br /> MECHANICAL COMPANY <br /> iNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # �- -� <br /> OTHER I CONiPANY <br /> Siui�ii�TURc j ^�c;�T���o Y!^! FEE CURR�NT Y/ N <br /> Address License # � <br /> RESIDEN7IAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of �nergy Forms <br /> Minimum ten (10) �u�rking 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 /> rections: <br /> Fill out application completely <br /> Owner & Contractor sign back of application, notarized <br /> If over �2500, a Notice of Commencement is requfred. (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/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />