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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner's Name e Owner Phone Number Owner'sAddress I \ \-\.e~~ ~~~c-..... vo~,~ OWner Phone Number I Fee Simple Titleholder Nam~ I Owner Phone Number I Fee Simple Titleholder Address I (o07..G WORK PROPOSED B D D I V\t<:. NEW CONSTR INSTALL SFR BLOCK WCJ\-\.... Vro..\\ ~\\J~ I LOT# I I PARCEL ID# I 0 -S - "Z Co - '"Z.. \ - 00 \ 0 - \ <.~CJCJ - ~I (OBTAINED FROM PROPERTY TAX NOTICE) D ADD/ALT D SIGN D MOVE D D REPAIR c==J COMM D OTHER c==J FRAME D STEEL D \..J"'~ \. ~ lS,J\) ~ C. ~\^J:~:ie' o.J \:-. SQ FOOTAGE I I HEIGHT I JOB ADDRESS SUBDIVISION DEMOLISH PROPOSED USE TYPE OF CONSTRUCTION OTHER I I I I DESCRIPTION OF WORK BUILDING SIZE ....,11...111....................................111......,...................11111.................11..11......'1............11....11.11......... 0 BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION 0 ELECTRICAL 1$ I AMP SERVICE c==J PROGRESS ENERGY D W,R.E,C, 0 PLUMBING 1$ I 0 MECHANICAL 1$ ~ 5"0C> ,c-o I VALUATION OF MECHANICAL INSTALLATION 1'-'t'":- 0 GAS D ROOFING c==J SPECIAL TV D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNo 1111111111.........11....111.1111.......111.....1111..111..........................11..11..............'1...1"'1"""""""'1'11111111""'111 Y/N I I I' I I I I BUILDER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Address ELECTRICIAN I SIGNATURE , Address I PLUMBER I SIGNATURE License # COMPANY REGISTERED Y/N FEE CURRENT Y/N License # COMPANY REGISTERED Address Y/N FEE CURRENT Y/N License # SUf}ev ?~"u; c ~ rwc. I N FEE CURRENT I Y / N License # C v-\< 0 <... MECHANICAL SIGNATURE Address OTHER SIGNA lURE COMPANY REGISTERED FEE CURRENT Address License # RESIDENTIAL 111""1111"11'1111111111111"1'1'11'1'11111'1'1"'11'1111'1111'1""1"'111"111'11111'11111'1111"11'1111'1"""'1"'11111"1"111111"1111111 Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster Attach (3) sets of Building Plans; (1) set of Energy Forms, Minimum ten (10) working days after submittal date, Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance, Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction, COMMERCIAL SIGN PERMIT IIIIII~.II.IIIIII~.III~III'IIIII.III.III.IIIII~..III.II'IIIII..III..II~III..III.IIIIIIIIIII.II.I.III.IIIIIII1IIIIIil~.II..II.III'.llil,III~llillli Directions: Fill out application completely, Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Driveways Fences (Plot/Survey/Footage)