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a�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building DepaRment <br /> i ' �f ' e Q y <br /> Date Received (Z�� v D �3 �� �v� ` <br /> i Phone Contact for Pemf ittin <br /> n.�.._ -_..._. .��aee•�-�n. �- � . 73[Gfri9�1EIFf , 3m� �..vtlf - <br /> , .. e mrrn <br /> .......yM.;.. - . ._._... _ .-�' .... ..... . ... <br /> . .93i90?31 FI!.._........ ............ .. . _ . . <br /> 'Owners Name 4 Owner Phone Number {�� <br /> a , ��1 <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �— I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> ��� � 1 LOT# � <br /> SUBDIVISION T PARCELID# -O(I' ����A� <br /> •(OBTAINED FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED � NEW CONSTR B ADDlALT � SIGN � MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR � COMM Q OTHER <br /> TYPE OFCONSTRUCTION � BLOCK � FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK �' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ;:.::a�z��wxa�=ax:t��;•=�u:�::;�.'an+taKpu�a���te5�a�tt•.�q;�l�ni�4ae„'-�nw?r,Y.X�a:r�m'�1�'kae��x�l�':tm�ptN.".�m,•u�tFt��:�ixsn;�p�7:;�aa�;xu�;�iN;g <br /> � BUILDING $ !'�f ,�� '� VALUATION OF TOTAL CONSTRUCTION <br /> O�LLJ <br /> � ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R E C. <br /> � PLUMBING 8 <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �/ �� <br /> ��-� i <br /> � GAS � ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES QNO <br /> ---�r>ina;=_���v:�•r§�s::�:���:ds��'s:a:'IflCI't `��4fN1'mlC�m:�ri3�'�3;i�ii 'I4=�3�.��;iHL:i�„"^�*.�,"•<��,..�„��„,.�„w.3riilt�4'�i��illklCW1�19�1!!�;d�'.�.�8�&:;'.vNtlIYY9el6::ffiEa;€�.A'115i93'mW'YWI <br /> .BUILDER COMPANY ��� �` � iCGS � <br /> SIGNATURE � REGI5TERE� YI N FEECURRENT Y/N � � <br /> �m t <br /> pr �« � <br /> Address License# ��y�O a � �a.,� <br /> O <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Add ress License# <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Add ress License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REG15iERED Y/ N FEECURRENT Y!N <br /> Adtlress License# �--� <br /> OTHER COMPANY � <br /> SIGNATURE REGISiERED Y! N FEECURfiENT Y/N <br /> Address License# �� <br /> _c�ES���:!"_i�E�zeiii3��te?eF:'o�.mL�r6'cY.°-k��;'�Ea�'wli�'iFiFRE9x�x'd'iu+ir,'1�'.�'-.i'H'i:83:3',3?3�i',�E!'�,e.��l:�l:Si;`:5Si:3ip:Y:9-�'G�'7Si8fliis�iNbi373i'.siMs2!33!n.��S3�a.+Fi�iii;fi`u�!:::i"a"��:�?��i.�Sl;ii::ti&1eHK�iE! <br /> RESIDENTIAL Attach(2)Pbt Plans,(2)seLs of Building Plans;(1)set of Energy Forms <br /> Minimum ten(10)working days after submittal date. Requued onsite,Construdion Plans,Sanitary Facilities&1 dumpster <br /> COMMERCIAL Attach(3j sets of Buildmg Plans,(1)set of Energy Forms <br /> Minimum ten(10)vrorking days after submittal date. Required onsite,Construdion Plans,Sanitary Facilities 8 1 dumpster <br /> All commeraal requuements must meet compliance. <br /> SIGN PERMIT Attach(2)sets of Engineered Plans <br /> ""PROPERTY SURVEY required for all NEW construdion. <br /> - — _ - - - -:�3-• .:�u�au�:��.����i;�s��M�;a=�,,,,;,,;�,,,;saK�;.,�:;.u;�a.;s;;;,;;t� <br /> -- - ;;s::;_„�.....i:as;i��_a�.�Ei;i'.�'.ki�;E��2;i;t;;?"��ai�ik�::�;a;il�..ti��.�?�;t:i�L3t;Ai;iB37L'It3t7iRii111;:7:,Nt6q;�C�R4R.�S!lEli�:lii!;:MI:�aSHmlii�3i�;,�':1�,'�'.q:n".� 11� �f <br /> �Directions: <br /> Fdl out application completely. <br /> Owner&Contractor sgn back of applica6on,notarized <br /> If over 52500,a Notice of Com mencement is required. {AiC upgrades over E5000J <br /> " Agent(for the con[ractor)or Power of Attomey(for the owner)would be someone with notar¢ed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Drrveways-Not over Counter A on public roadways..needs ROW <br />