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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department ~^ ~S Z. -If 2"'Y-1<;57' I Date Received a.. V\. Owner Phone Number Owner Phone Number I OWner Phone Number I OWner's Name OWner's Address Fee Simple Titleholder NamJ JOB ADDRESS WORK PROPOSED B D D I B D D setlll(e.. Uo (;IfJOT( .f . SQ FOOTAGE I NEW CONSTR INSTALL SFR BLOCK 2 fh C + LOT # I PARCEL ID#loz -ClCo -J ( - 0020 - (X)<:)Oo - 002/ (OST AINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D ADD/ALT REPAIR COMM FRAME D D D {Ic RefB'-r. I HEIGHT DEMOLIsH SUBDIVISION PROPOSED USE TYPE OF CONSTRUCTION OTHER STEEL I D OTHER I I I I DESCRIPTION OF WORK BUILDING SIZE I I ....'111......11.11...............................1111............................1111.......1111.................11.111.........111...111........ BUILDING 1$ ,--, ELECTRICAL :>CJ /{ 0 0 /1 '--...J PLUMBING . D MECHANICAL 1$ D GAS D FINISHED FLOOR ELEVATIONS I D czr I VALUATION OF TOTAL CONSTRUCTION r (ael- ~ . 1,/9 AM':;~~~ l':::.J PROGRESS ENERGY c===J W.R.E.C. ROOFING I D 1 SPECIALTY D OTHER FLOOD ZONE AREA DYES 3S- pa':, t. S- &d..ADO pii?r":, ~. VALUATION OF MECHANICAL INSTALLATION DNO .......11........11.11...111.......,11.11..11111....11.......11...111111..'11111...'11..11111....,111.........11...111.............11.11......111. BUILDER I SIGNATURE Address I ELECTRICIAN~~ ~~ SIGNATURE ~ Address . . qj C-C~ ~ PLUMBER I SIGNATURE Address I MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE Address I COMPANY REGISTERED Y/N FEE CURRENT Y/N License # /fl-.;''' r-/: /'I ~ II" cl3--t"~ Hi. c- Y/ N I FEE CURRENT I Y/N I License # I Gc I "300 I '3 <i" f COMPANY REGISTERED COMPANY REGISTERED Y/N FEE CURRENT Y/N License # COMPANY REGISTERED Y/N FEE CURRENT Y/N License # COMPANY REGISTERED Y/N FEE CURRENT Y/N RESIDENTIAL tlll"'IIIIIII'III"III"III""'.'llI11'..III",..,,1..'III..'tlll.'III"IIIIIIII"'IIII'IIII""I'111111111'11'1"111"'1111111"111"1'1'111111 License # COMMERCIAL 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 onsite, 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. SIGN PERMIT II ~ I I II ~ II I . I I I I II I . I II . I III I . . II II I II ~ I. I & . . I. II I I I II . I I II. I I IIIII I . I I. I II & . I I II II I II IIIII III II. II I ~ I I I I ~ I I I ~ I III ~ I III I. I I.' I I ~ I I I ~ I i I . I I I II I II II i Directions: Fill Qut 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 NC Driveways Fences (PloUSurvey/Foolage)