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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received -3 .- ~/- Otp Owner'S'Name (VILUAM 4- CAkJL J"HA.J~ON OWnef. Add.... 13 8'''14 L~ I /J/r)~ kPFfYRIHLLS Fee Simple Titleholder Nam _ ,_.-IE' BUILDING SIZE w I E3 ADD/ALT D REPAIR D COMM D OTHER /A-tPA3/ L..E:: ~A7e D FRAME D STEEL D OTHER I Jabttsle~ uA 0A z. oS'IP6LEf./uN6- 'KepJ-, 5I~e:-~rSfZe 'l- HEIGHT I /01 I LOT # I I I I /~r I l3qo Fee Simple Titleholder Address ~oVLE LRtJ~(Nb JOB ADDRESS SUBDIVISION OCODO WORK PROPOSED NEW CONSTR INSTALL SFR BLOCK (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLIsH El PROPOSED USE D TYPE OF CONSTRUCTION D DESCRIPTION OF WORK ~e-PLA~ 1'3 1')-.1-S-t- I I I D ELECTRICAL D PLUMBING D MECHANICAL D GAS ~ ' , , . '~~I~~;~~ . . . , . , . , 'I~' , ; ~' ~ ~; . 'if' , , '1' . . . . '~~'~~~~I~~' ~~ '~~~~~' ~~~~~~~~~:~~ . . . . , , , . . , . . . . . , , , . . , . . . . . . . . . . . . . . . . . . . . . 1$ I 1$ I 1$ I D ROOFING D AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION FINISHED FLOOR ELEVATIONS 3' 6-btNt:- SPECIALTY D FLOOD ZONE AREA OTHER DYES ~ Address ! "~ ' o~ COMPANY I .c/>:~ f . ,S:;'GISTE'j" I ~.~~Y/N License # I BUILDER SIGNATURE ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/N Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address OTHER SIGNATURE COMPANY REGISTERED Y/N Address , 1'111111'11111 "11111111' 1'11111' I.' 11111' 1111'" I r 1111.'" 1111111" 11111."" 1111111. r, 111111"1..' 11111 I" r 1111111'.. r r 1'1111 I." III."" IIIII RESIDENTIAL 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 COMMERCIAL Attach (3) 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 All commercial requirements must meet compliance. SIGN PERMIT Attach (2) sets of Engineered Plans. ****PROPERTY SURVEY required for all NEW construction. I I I I I I I I ~ I I I I I I I I I I I I I I I I I I I I I I J I I I I I I I I I I I . I I I I I I I I I I . I I I I I I I . I I I I I I I I . . I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I i I I I I I I I I I i I . . . . I I I i I I I I I I I Ii. . I i I I I I I . Iii 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 Attorney (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 AlC Driveways Fences (PloUSurvey/Footage)