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a�s-7so-oo2o City of Zephyrhills Permit Application Fax-813-78Q-0 —� <br /> Building Department � � 1 '' <br /> Date Received ' Phone Contact for Permitting -- <br /> � <br /> �er's Name � L �. � � �-r Owner Phone Number `� —�7 r� <br /> Owner's Address `���1' ` � G-. � 33�Y Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �U �[ ` J J �'� � 33 j 1 7 Z LOT # � <br /> SUBDIVISION � � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR � ADDlALT � SIGN Q MOVE O DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER C <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME Q STEEL � OTHER �--� <br /> DESCRIPTION OF WORK � 1' t �F JJ S �` <br /> BUILDING SIZE SQ FOOTAGE _� HEIGHT C_� <br /> �� BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> J'I 'l ' <br /> � ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> � PLUMBING $ <br /> � MECHANICAL $ �I VALUATION OF MECHANICAL INSTALLATION <br /> � <br /> � <br /> � GAS Q� ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS I� FLOOD ZONE AREA �YES �NO <br /> � <br /> BUILDER � _--- COMPANY 1� 1�1 VeZ6 ► 1��1q(;,,-� 11c. _ <br /> SIGNATURE REGISTERED / N FEE CURR T Y N � <br /> Address � �"[ � � ug �� �e G �) 3 3 License # �(f.�, ���., `)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 /> iNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # �— I <br /> OTHER COMPANY <br /> SiG�fi�TURE ' ^�cteTER�o Y; R FEE CURP.SNT Y/ N <br /> Address License # �— <br /> RESiDENTIAL Attach (2) Plot P4ans; (2) sets of Building Plans; (1) set of �nergy Forms <br /> Minimum ten (10) u�orking days after submittal date. Repuired 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 /> �n � <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 AFplication Only) � � <br /> Reroofs Sewers , Service Upgrades A/C Fences (Plot/SurveylFootage) <br /> Driveways-Not over Counter if on publicroadways..needs ROW <br />