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. � <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-81:S-780-0021 <br /> Bwlding Department <br /> Date Received Z— —� Phone Contactfor Permitting `� -- ��Zv <br /> c•'r;el:9"M:":i"u9P;?RSi!"�v-":....• . ,_.., ..' ._ ._v�e.e:�a-� -s�n�n war,a.�.-.�r_r.��n�, ryii1�!1":P_IES7�if.a� . . ifl1iM - ���- _ '.... n-� <br /> !- •1 Q,�q <br /> OwneYs Name 1 Owner Phone Number (J{.� <br /> Owners Address �� '1"4►1��v1\ Owner Phone Number � <br /> Fee Simple Titleholtler Name Owner Phone Number �� <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS � � � � LOT# C� <br /> SUBDNISION uil PARCEL ID# a�'�'cyI—OI�)'Cll�l�� �(� <br /> (OBTAINED FROM PROPERN TA�NOTCE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN � MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM Q OTHER � <br /> TYPE OF CONSTRUCTION BLOCK � FRAME Q STEEL � OTHER�—� <br /> DESCRIPTION OF WORK � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> s:.�mca::.��a•�.—..:���-.�a:sx:;xc�mx:�;a:,aa;�wur�?�;;3r,�m;��r-,�K.�+w�rr�t�tr�;.�.t:s,-r�a�raar�nataa�p:ia�aa,'�m•�`,n,"��u;,;r.��.am�p��aw�rt�t�st�����au:p,'aart:�x��mav�p�+ <br /> � BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICA� $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> � PLUMBING S �l3 <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ��� <br /> Q GAS � ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLO00 ZONE AREA �YES �NO <br /> _:°:.:�_;:��°-�-�;•xa�=�_::;���:::�;»..._.�:�;�� �:»=a:«a��:��ut,�;�:a��:,�r � �;�s;s�rr��,.�„M.:<.aas�•�s:.,...�:_;_;�nuuuu�a�m��m�a�ur�::�;ac;us�:"".,�,",.,,.2„�,�-,..,_� <br /> • <br /> BUILDER COMPANY <br /> SIGNATURE ��— � REGiS7ERED Y �� Y/N <br /> r <br /> Add ress License# <br /> ELECTRICIAN COMPANY <br /> $IGNATURE REGISTERED Y/ N FEECURRENT Y/N <br /> Address License# �� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N fEECURRENT Y!N <br /> Address License# �� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# �� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRENT Y/N <br /> Atldress License# �� <br /> .x. ,.__e..._o..�__._._.'s_3�;<<."Mie:�i3':ee�":'�Ep.q'.t@li7��:lH:IH:3��CSF.Rk4.�:Y�!�i��z�'ttEi'.�5i!'�i 4'.k6'W..i1��"-+::':IiSliS!��K�'2£i:�3lF,e-�?3le5!i�L!FiP�13lI�'.:.".�34°R�T.°E.i"•�a`���iiC�a"pE'eFa`alr ii5eim.�iE"u'� <br /> RESIDENTIAL Attach(2)Pbt Plans,(2)sets of Bwlding Plans;(1)set of Energy Forms <br /> Minimum ten(10)workmg days after submittal date. Required onsite,Construdion Plans,Sanitary Faalities&1 dumpster <br /> COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms <br /> Mimmum ten(10)working days after submittal date. Required onsite,Construction Plans,Sandary Facilities&1 dumpster <br /> All commeraal requirements must meet compliance <br /> SIGN PERM�T Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEVJconsVudion. <br /> ;a,:rz;s?'.;::=i�:i:=:�;Ei�:�::r';�;?au:;=::.::'yi:�':iii:a3iii3i:?ii3:ltE::i!ii::SR:i.iii:i!•.:3i�i?.'.G7i;El�:.i3ili::SEfiiAl:Ip1:5R6'7::�;;E"�ip9R�e;ie`s.:�7iFliii:Riii:iiur�'KB:�Yii:3i;'�;ia�iik3iCE111!3f3i1'�ili�'a3liii'�i�iilR:d's:li4�i:@3'-�'a""Y'::.�l93.�3ssM'sREl::B'Ri�,NI;�:`k3:: <br /> Directions: <br /> Fill out applica[�on completely <br /> Owner&Contractor sgn back of appliqtion,notarized <br /> If over 52500,a Notice of Com mencement is required. (A/C upgrades over 55000) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone wrth notar¢ed letter from owner author¢ing same <br /> OVER THE COUNTER PERMITT�NG (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter rf on public roadways.needs ROW <br />