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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department ��� � , <br />)ate Received� , , Phone Contact for Permitting -- <br /> �er's Name J4 5. Owner Phone Number � � ,.�� <br />�wner's Address � - � "�"L Owner Phone Number <br /> Fee Sim le Titleholder Name {U�i� Owner Phone Number �— � <br /> P <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS - Z LOT# � <br /> SUBDIVISION �— PARCEL ID# 2 • - 'U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADDlALT �✓ SIGN CJ MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM Q OTHER L-Q <br /> TYPE OF CQNSTRUCTION Q BLOCK � FRAME Q STEEL Q OTHER —I <br /> , L <br /> DESCRIPTION OF WORK _ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br />�� BUILDING $ `\ VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> � �,V � <br />� ELECTRICAL � AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.0 � <br /> � <br />� PLUMBING $ � �S <br /> ; <br />� MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION " <br />� GAS Q� ROOFING � SPECIALTY Q OTHER . <br /> FINISHED FLOOR ELEVATIONS �I FLOOD ZONE AREA �YES QNO , <br /> � � <br /> _..__'.. ._...... ..___..—.wsrw�YwwWY <br /> ' COMPANY I�II� V� �l�u�_�]1 c. _ <br /> BUILDER '— <br /> SIGNATURE REGISTERED / N FEE CURR T Y N � <br /> Address ��1) (.1� �� �Q �� �� 3 3 License# �(,.(. �3Z,�jv�Z <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRENT Y/N � <br /> Address License# � � <br /> PLUMBER COMPANY ' <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> ^�ECHANICA� COMPANY <br /> iNATURE REGISTERED Y/ N FEE CURRENT Y 1 N <br /> Address License# <br /> OTHER COMPANY � <br /> SiviJiaTURc REGIST�.:�� Y! N F�E CUP.P.�NT Y/N <br /> Address License# ! <br /> —__.�_.._...._.....,.�.�...�..�...�v..,,..��d,�d <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Eneryy 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 Ptans,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. i <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 A�plication Only) <br /> Reroofs 5ewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways. needs ROW <br />