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a�?: �so-oo2o City of Zephyrhills Permit Application Fax-813-7 - 21 <br /> � , Building Department �'3��� <br /> Date Received �.- -� Phone Contact for Permitting -- <br /> �er's Name Owner Phone Number �^ � �. j Z3� <br /> Owner's Address �t � � Owner Phone Number <br /> Fee Simple Titleholder Name ►J 1� Owner Phone Number �— <br /> Fee Simple Titleholder Address N�`'' <br /> JOB ADDRESS �' J - �1 1 t ZJ � ( . ► LOT # � <br /> SUBDIVISION ��, I"TC_.( 2 � � PARCEL ID# • Z - h2.�1 - CJ�ck) - 10 J <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT � SIGN � MOVE � DEMOLISH <br /> INSTALL REPAIR 2 <br /> PROPOSED USE Q SFR � COMM Q OTHfR L- It ls 2. <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME Q STEEL � OTHER —� <br /> DESCRIPTION OF WORK � L- e <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> � <br /> �� BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W R.E.0 <br /> � PLUMBING �$ � <br /> ( <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � GAS � �� ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA �YES QNO <br /> BUILDER ' /� COMPANY (' 1�I V� 1 1�;�_ , y1 c <br /> SIGNATURE REGISTERED / N FEE CURR T � � N � <br /> Adaress �� l � U� �� �Q C•i �) 3 3 �icense # ��3� )v � 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 /> �NATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # �— � <br /> OTHER COMPANY <br /> SiGiJiITURc � �;EG;''E�^.��J � Y/ P� F5E CURRENT Y I N <br /> Address ' License # � <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br /> Minimum ten (10) wprking days after submittal dats. 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 /> -�w <br /> rections: <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 (PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways. needs ROW <br />