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813-780-002Q City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department --...,_ <br /> (+4ef?"-) <br /> Date Received <br /> Phone Contact for Permitting -- <br /> ,er's Name \ /p,yY A)n,12 1hih ie A-ape ft1.6 LAX-- Owner Phone Number 531A/3,4,-i-713 <br /> Owner's Address ( 506!) 0 l.Q-VlC!"zil' Pvt f 1 ayvv z, i(0)-7- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 35 ,5 5 e Lam} t.yJ�, 1.-.00e, Z.'l 11;1 k-, LOT# 4.!j <br /> SUBDIVISION rneAzt)t,3J_)a PARCEL ID# I3 "Z,(- Z1. 01zr3- Lk)3 - Olt 30 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F ADD/ALT I—I SIGN n MOVE DEMOLISH <br /> - <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR ni COMM El OTHER At.-QonF' <br /> TYPE OF CONSTRUCTION j BLOCK FRAME I—I STEEL pi OTHER <br /> DESCRIPTION OF WORK Sc- . abirvite_ Rq}-F ( 10 Cxty,bf4 tL 1.1,%∎r�..7") rt..-700 L. ( l 5857 <br /> BUILDING SIZE SQ FOOTAGE Li 3 HEIGHT <br /> I—� BUILDING $ i VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> 1 I PLUMBING $ / <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTAL TION , <br /> GAS I—✓1" ROOFING II SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> BUILDER J� COMPANY L nu?a( ( ,I! :_ _ ,, __J <br /> SIGNATURE ��,��"� REGISTERED �D� FEE CURB- T re N <br /> Address 15q1 U SO 'Dade C--;113 CI 335013 License# LW- 132,J0,2... , <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N I <br /> Address • License# <br /> PLUMBER COMPANY <br /> .SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N I <br /> Address License# <br /> MECHANICAL COMPANY <br /> ;NATURE REGISTERED I Y/ N I FEE CURRENT I V/N I <br /> Address License# <br /> OTHER I COMPANY <br /> SIGNATURE I REGISTERED I Y/ N I FEE CURRENT I Y/N I <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)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 /> 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 required for all NEW construction. <br /> rections: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized y!r <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000) <br /> ** Agent(for the:contractor)or Power of Aftomey(for the owner)would be someone with notarized lettersfrAm pwnelS,authorizing same <br /> OVER THE COUNTER PERMITTING , (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 />