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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner's Name 0' S Owner's Address Is s q 1 I Z i:!\ <S-L Fee Simple Titleholder NamJ Owner Phone Number f3S' z) z. Olp . 1- 2 23 Owner Phone Number I Fee Simple Titleholder Address I ISSLIL-'Z'tb I JOB ADDRESS LOT t# SUBDIVISION PARCELlD#IJI-Jlo-11- OO/O~//'700 - OOfS- (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D WORK PROPOSED B D D I D D D PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK ADD/ALT REPAIR COMM FRAME DESCRIPTION OF WORK DEMOLISH OTHER STEEL I I I I D OTHER I HEIGHT I d <\S" \ BUILDING SIZE I ..1111...................................................11.....1111.111.11.......11........111.11..1111..1111.........................1111....... VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY D BUILDING 1$ foO - ~ I D ELECTRICAL 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I D GAS 0 ROOFING D FINISHED FLOOR ELEVATIONS I I BUILDER SIGNATURE AMP SERVICE D D W.R.E,C, ~~,-\- '5 foLlS' VALUATION OF MECHANICAL INSTALLATION SPECIALTY D FLOOD ZONE AREA COMPANY REGISTERED ELECTRICIA SIGNATURE Address PLUMBER SIGNATURE COMPANY REGISTERED Address MECHANICAL SIGNATURE COMPANY REGISTERED Address OTHER SIGNATURE COMPANY REGISTERED Address OTHER DYES ~NO -J-Jo Iv'\ ( (h..U (\ e.. r I Y I N I FEE CURRENT Y I N License # Y/N Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/N Y/N Y/N 11111111111111..."""111"""""1'1111111"1111111IIIIII1IIIII1111111111I1111111111111111111I1111111111111"'111111111111111111111111111111111 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) $et 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. RESIDENTIAL COMMERCIAL SIGN PERMIT I . ~ I . . 1111111111111. . . II11IIIIII1111111111 ~ I I III ~ ~ ~ 1111..,11111111111111 ~ . . I . I I I . I I . I. I . I II . I II. II . ~ I ~ . . I I ~ I I I IIIII i I . . . . . . & III1III1IIIIII i IIIIII i i 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)