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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting _ <br /> ier's Name <br /> Owner Phone Number � ° a <br /> Owner's Address � ,-� Z '—' <br /> i Owner Phone Number <br /> Fee Simple Titleholder Name �.;,a� <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS c�- '3 �� <br /> LOT # <br /> Sl1BDIVISION PARCEL ID# <br /> 2' - Z - ��� 'v.�. 30 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR C� ADD/ALT � SIGN � MOVE � DEMOLISH <br /> INSTALL u REPAIR <br /> PROPOSED USE Q SFR � COMM �� OTHER L-(Z, <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � OTHER <br /> DESCRIPTION OF WORK j � : � � � � � <br /> � � �< . <br /> BUILDING SIZE �— SQ FOOTAGE J J HEIGHT <br /> ��/ BUILDING $ <br /> 3 U `�C- li VALUATION OF TOTAL CONSTRUCTION ' <br /> � ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.0 <br /> � PLUMBING � � <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS �` ROOFING � SPECIALTY <br /> FINISHED FLOOR ELEVATIONS � <br /> FLOOD ZONE�A OTHER YES <br /> Q QNO <br /> BUILDER ' ^� - <br /> SIGNATURE �,. � COMPANY rn�t �"� � � <br /> REGISTERED / N FEE CURR T Y N <br /> Address j� � � (,�� �� �Q C �) 3 3 License # �;,�, �3� y,�,;� L <br /> ELECTRICIAN COMPANY <br /> SIGNATURE , <br /> REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address <br /> License # <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N , FEE CURRENT Y/ N <br /> Address � � <br /> License # <br /> MECHANICAL COMPANY <br /> 3NATURE <br /> REGISTERED Y/ N FEE CURRENT Y! N <br /> Address ('�' � <br /> License # � <br /> OTHER <br /> S1Gi�ATURE COMPANY <br /> I�EGtu'.'Efi�D Y i I`! F�E CUP.P.ENT Y 1 N <br /> Address � <br /> License # <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 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 a2500, a Notice of Commencement is required. (A/C upgrades over a5000) <br /> " Agent (for the contractor).or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> )VER THE COUNTER PERMITTING (Front of A�plication Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />