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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Owner's Address Fee Simple Titleholder NamJ Owner Phone Number Owner Phone Number I Owner Phone Number I Date Rec,ived Owner's Name LOT # I I I ~ I JOB ADDRESS Fee Simple Titleholder Address I 1.S5f'tJ 2,~,j ell I".. B PROPOSED USE D TYPE OF CONSTRUCTION D DESCRIPTION OF WORK I ~r O{.c. /1.1\) A.-pj!j.~ 20 ~ ) ,IJ!c.t BUILDING SIZE I I SQ FOOTAGE I ;?o I HEIGH:I ..............111....11.11....111..11......11............11.........11.........111...11.......11.......................11...........1.11.......... 4JVtO NEW CONSTR INSTALL SFR BLOCK I E3 D D PARCEL ID# I /;2 - ;?t; - 2/ - Or) 70 - axx;'1- ex; 50 (OBTAINED FROM PROPERTY TAX NOnCE) SIGN D MOVE D D D D DEMOLISH SUBDIVISION WORK PROPOSED ADD/AL T REPAIR COMM FRAME I I I OTHER STEEL I D /Y1orJ. OTHER I ~'j- ROOFING I I I I D I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. D D D D D 1$ 1$ 1$ ~ FINISHED FLOOR ELEVATIONS I BUILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL PLUMBING VALUATION OF MECHANICAL INSTALLATION MECHANICAL GAS SPECIALTY D FLOOD ZONE AREA OTHER DYES DNO 11...111.111....'.11.111.11....111.....................11.......11...111111....1111.1111..11......11........l'p"III...III...I.I.IIIII...III......I BUILDER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT Y/N Address COMPANY REGISTERED Y/N ELECTRICIAN SIGNATURE Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address License # I OTHER COMPANY 1.t4A1e Lh{t{(j.emen. f Se, IL' ceC SIGNATURE REGISTERED Y / N FEE CURRENT I Y / N I Ill" ~'~~:~~~II ~~~ ,if ~ I' ~lll ~r.11 ~ IIIIIIII(~~; I~~IIIIIII! 11111111111' 1111111~i~I~~~~ ~ IIIIII~ ~~~:Zlllllllllll 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 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 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 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A1C 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 NC Driveways Fences (Plot/Survey/Footage)