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813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> • Building Department Lr, r� �C�J <br /> Date Received . %`'� �` Phone Contact for Permitting - <br /> rer's Name ,� �' y c- Owner Phone Number � � .� <br /> Owner's Address u � 1� ��� l�� l.c� v-t- ' 3` Owner Phone Number � <br /> Fee Simpie Titleholder Name 1`S !>- Owner Phone Number _ <br /> Fee Simple Titteholder Address � <br /> JOB ADDRESS V _��'u 3 �t �' lOT # C� <br /> SUBDIVISION � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT Q SIGN Q MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER C-Q <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q OTHER �— -- I <br /> , - ��'1 � � � 7 / e Z �' ` ` <br /> DESCRIPTION OF WORK rne � � e- <br /> � � „�{ �� 1'-z j��.r <br /> BUILDING SIZE SQ FOOTAGE �} � v c,�=' HEIGHT <br /> � <br /> �� BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � j Z, , ..9�� <br /> � ELECTRICAL $ — � AMP SERVICE � PROGRESS ENERGY � W.R.E.0 <br /> � PLUMBING � �� Qr <br /> � / Ux� <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> � GAS �� ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS �` � FLOOD ZONE AREA QYES QNO <br /> � � COMPANY I � II� U� � � <br /> BUILDER -+ <br /> SIGNATURE � <br /> REGISTERED / N FEE CURR2NT Y N <br /> Address ��l�� ug �� �e � �) 3��3 License# � 13Z,y�`.1L <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 /> 3NATURE REGISTERED Y/ N FEE CURRENT Y! N <br /> Address License # �— � <br /> OTHER COMPANY <br /> Siui�ATURc r,����Tec�p Y; N FEE CUP.P,ENT Y! N <br /> Address License # �— I <br /> RESIDENTIAL Attach (2) Plot Plans; (2) 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 /> 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 commerciai requirements must meet compliance. <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. , <br /> .��, <br /> rections: <br /> Fill out application completely <br /> Owner & Contractor sign back of appiication, notarized <br /> if over $2500, a Notice of Commencement is required. (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 A�plication Only) <br /> Reroofs Sewers Service Upgrades A!C Fences (Piot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />