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s��-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780- �t - <br /> � Building Department �3�{l, <br /> Date Received �' � .� Phone Contact for Permitting -- <br /> �er's Name (lSu Owner Phone Number `� <br /> Owner's Address � r Owner Phone Number <br /> Fee Simple Titleholder Name Oc Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � � � LOT # �� <br /> Sl1BDIVISION o,�y� .� n��� �j� �qh I PARCEL ID# 2'' Z OBTAINED FROM PROPERTY TAX NOTICE� � <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT Q SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR � - <br /> PROPOSED USE Q SFR � COMM Q� OTHER L-4 ` <br /> TYPE OF CONSTRUCTION � BLOCK O FRAME Q STEEL Q OTHER --� <br /> DESCRIPTION OF WORK t' �— <br /> BUILDING SIZE SQ FOOTAGE �_ HEIGHT <br /> �� BUILDING $ VALUATION OF TOTAL CONSTRUCT�ON <br /> 0 ELECTRICAL �$ AMP SERVICE Q PROGRESS ENERGY Q W R.E.0 <br /> L <br /> � PLUMBING $ <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> •:- <br /> � GAS � ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES QNO <br /> BUILDER / COMPANY I� II� V� !� 1�4�1[1�C:�,- ,]�1 t. <br /> SIGNATURE REGISTERED / N FEE CURR T Y N � <br /> Address ��1� (,�g �� �e G �) �u 3 �icense# � �3� )�`�L <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 COMPANY <br /> :illii3f7TURC � ^EGiE3TE°�D Y� �`: F�E CURP,EtJT Y/ N <br /> Address License # � <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br /> Minimum ten (10) w�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 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 <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. (AIC 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 (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />