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s�saan-oo2o ���f�-'`,' <br /> _ City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received .�S y <br /> Phone Contact for Permitting <br /> ,er's Name Owner Phone Number <br /> � <br /> Owner's Address 1� T �J�Z�Z �'1l Gc.. Owner Phone Number � jZ- ��.) <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ^ <br /> JOB ADDRESS ,�2�'L. ��{L� ��IYG�'� Z�(�l� � LOT# 'i ,`/ <br /> SUBDIVISION • /�a PARCEL ID# • Zb• ��- � �� - U��lA <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR � ADD/ALT Q SIGN � MOVE � DEMOLISH <br /> lNSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM Q OTHER L-Q <br /> TYPE OF CONSTRUCTION Q BLOCK � � FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK S IY1. - J� .� �/� �' l I2�1 L- ' � <br /> BUILDING SI2E SQ FOOTAGE HEIGHT <br />�� BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> c " <br />� ELECTRICAL $ � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 <br />� PLUMBWG � 3 y3 y <br />� <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� <br />� GAS Q� ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO <br /> BUILDER COMPANY !�II���a6 ► 11�1.�,�_�11 c_ _ <br /> SIGNATURE - REGISTERED / N FEE CURR T Y N � <br /> Address ��'{�� (.�� �) L¢�iu Q 1..� �) a 3 License# IL{`�„ (��„`�v`�'Z,. � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# r <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N i FEE CURRENT Y/N <br /> Address License# � � <br /> "eECHANICAL COMPANY <br /> iNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# r- <br /> OTHER COMPANY <br /> S1u�iATURc Rec�cTe��a Y/ t� F=_E cuPF=_r�r Y 1 N <br /> Address License# � � <br /> � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Eneryy Forms <br /> Minimum tei�(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 len(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 /> °°' ��IR� <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 �uewers Service Upgrades A/C Fences(Plot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW , <br />