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813-7,80-0020 City of Zephyrhills Permit Application � � Z ;-� Fax-813-780-0021 <br /> , Building Department /�A�k ���3 <br /> ate Received Phone Contact for Permitting -- <br /> �er's Name L,� ,� 1a Owner Phone Number U 7� QLZ% <br /> � �iwner's Address r , 1 L� Owner Phone Number <br /> ee Simple Titlehoider Name Owner Phone Number C � <br /> ee Simple Titleholder Address � <br /> OB ADDRESS �'�� d' �'�_����Y�k YC.- '��S�Z I LOT# �� <br />�UBDiVIS10N �— PARCEL ID# �1- Z b-Z1- �� ' /��L'� ' V jd`-' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> VORK PROPOSED B NEW CONSTR � ADDfALT Q SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br />'ROPOSED USE Q SFR Q COMM Q'� OTHER �-4.�— <br />'YPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q OTHER -I <br />)ESCRIPTION OF WORK f I�I� /1C!►�.U`� U//►'il •L,d x�._,C�=� /��f'� <br /> 3UILDING SIZE SQ FOOTAGE HEIGHT C__� <br /> �/ BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � <br />� ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> e <br />_f PLUMDING ($ � <br /> � <br />� MECHANICAL $ VALUATION OF MECHANiCAL INSTALLATION <br />� GAS �� ROOFING Q SPECIALTY Q OTHER <br />=1NISH�D FLOOR ELEVATIONS � FLOOD ZONE AREA QYES QNO <br /> BUILDER i V COMPANY I�III U�t� �l �� � <br /> SIGNATURE - REGISTERED / N FEE CURR T Y N <br /> Address ��"i�� ug �� �e � �� 3 3 License# ��C.,L �3�J��Z � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRENT Y/N <br /> Address License# C � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y I N <br /> Address License# C <br />^�ECHANICAL COMPANY � <br /> iNATURE REGISTERED Y/ N FEE CURRENI Y/N <br /> Address .License# C � <br /> 07HER COMPANY � � <br /> S1GiJATURE REGIE?ER�� ' Y J ��! F�E CURP.�NI' Y/N <br /> Address License# C � <br /> RESIDENTIAL Rttach(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 FacilitGes&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 FacilitWes&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 />� <br /> rections: <br /> Fill out application completely <br /> Owne�8 Contractor sign back of application,notarized <br /> If over$2500,a Notice ofi Commencement is required. (A!C upgrades over$5000) <br />** Agent(for the contractor)nr Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same � <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Seroice Upgrades A/C, Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />