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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received l.\ - S -0 (.p Owner's Name iJ ll-L A G.~ ~\1+tL~ t> 11- S Owner's Address I c. S"r q rJ I t. -r u-It I ~,J \AI h Fee Simple Titleholder NamJ Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address I Ios-( '1 (/ I C Con I f.I-,J <;,L.tJ. O~>.. III Ll. I 1.".,,1' Lr LOT# I JOB ADDRESS SUBDIVISION PARCEL ID# I WORK PROPOSED B D D I vA-v ~ t ItI} ) CD kti. tuJ SQ FOOTAGE I B D D NEW CONSTR INSTALL SFR BLOCK ADD/ALT REPAIR COMM FRAME PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK BUILDING SIZE ...................11.........................111111................111...............11......111...11...........,.............11.......11111..111 D D rn BUILDING 1$ 1$ 1$ 1$ DGAS D FINISHED FLOOR ELEVATIONS I (OBTAINED FROM PROPERTY TAX NOTICE) SIGN 0 MOVE D D D OTHER D STEEL 0 ~~c.,.;a.L I HEIGHT I DEMOLISH OTHER I I , Il n I ~.A-r, v.,.,J1 . I ELECTRICAL AMP SERVICE VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY PLUMBING D MECHANICAL D D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION ROOFING D I SPECIALTY D OTHER FLOOD ZONE AREA DYES DNO .1....,...11....111,.111.11111......................11...1111.......................11......................111...111..............11...........11 BUILDER SIGNATURE COMPANY REGISTERED Address ELECTRICIAN I SIGNATURE COMPANY REGISTERED Address PLUMBER SIGNATURE Address MECHANICAL SIGNATURE COMPANY REGISTERED Address OTHER SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N License # Y / N FEE CURRENT Y/N License # TO'.)') ~!t-r ~fL , flit . I Y / N I FEE CURRENT I <0 N I License # I 00 ~ 0 ~ Y/N FEE CURRENT Y/N License # Y/ N Y/N FEE CURRENT Address License # 1111""1'1"11 "11111"111111"'11"'111'1111"1111111111"'111111111111"1111"'111111111111111"1111'11111'11"'111111"111"'1111""11'11111 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 IIII I IIII I I . II III II I II . I II I I IIII III I . II . . I III. II II. II I I. I . . I I II II I IIII . . II I . . II I I I I ~ III I III. I I I I I I III1IIII1II I I I I i I II . I. III IIIIII III III i II IIIIII j 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 NC Driveways Fences (Plot/Survey/Footage)