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� 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-00 1; <br /> " Building Department �5��j <br /> Date Received Phone Contact for Permitting -- <br /> ter's Name Q ; Owner Phone Number �� _ j��L' <br /> Owner's Address U Z, � � Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS � '�l�. � S LOT# � <br /> SU3DIVISION �— w� pARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR � ADD/ALT � SIGN � MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER L- <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK � 5 �„� ,� <br /> BUILDING SIZE SQ FOOTAGE —� HEIGHT <br /> Q� BUILDING $ VALUATION OF TOTAL CONSiRUCTION <br /> � J <br /> � ELECTRICAL ($ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> � PLUMBING $ /�,��}C� ( / <br /> V <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 �/C�/,�i� COMPANY rnI� U�� ►l t�t��_�11 C. <br /> SIGNATURE i�/°' REGISTERED � / N FEE CURR T Y N � <br /> Address ���� (,�g �� �.�C�GtQ G �) 3 3 License# I(�(„ ���`jv`�'Z,r <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N i FEE CURRENT Y/N � <br /> Address License# �- <br /> "�ECHANICAL COMPANY <br /> �iNATURE REGISTERED Y J N FEE CURRENT Y/N <br /> Address License# —� <br /> OTHER COMPANY <br /> SiG�ii,TUR� REGIS','ER�D Y; P� F�E CURP,�NT Y/N <br /> Address Li:ense� � <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 Plans,Sanitary Facilities&1 dumpster <br /> All commercial requirements must meet compliance. • <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *`**PROPERTY SURVEY requlred for all NEW construction. <br /> rectlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over a2500,a Notice of Commencement is requlred. (A/C upgrades over�5000) <br /> *' Agent(for the contractor)ou Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIiTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />