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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Owner's Name Owner's Address I t; 7 "3 ~ Fee Simple Titleholder NamJ Pe ,- L-1/Jrc,tf , Owner Phone Number Owner Phone Number I Owner Phone Number I Date Received /t-f)A ,)-+ Fee Simple Titleholder Address I s-l DESCRIPTION OF WORK E3 D D I :s~ c J fre_5 S t\ + LOT # 1 PARCEL ID# 1 "2- I - Z ~- 11 - 6 1. to (j - 61'-1 n I,. (J ~O I (OBTAINED FROM PROPERTY TAX NOTICE) NEW CONSTR B ADD/ALT D SIGN 0 MOVE D DEMOLISH INSTALL REPAIR SFR D COMM D OTHER I BLOCK D FRAME D STEEL 0 OTHER I JOB ADDRESS SUBDIVISION WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION SQ FOOTAGE I "'2..-;< \" L HEIGHT I BUILDING SIZE ....,....1....1.....".......,1,..........11....111...11.1..,11..111....1.1.....1111...11...11.11.1.1.,11111..1......1111..........1..1........... D D D D 1$ _ ~ yoo .OeJ 1$ 1$ 1$ D GAS c::r-ROOFING FINISHED FLOOR ELEVATIONS I I I I I D I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. BUILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL PLUMBING MECHANICAL VALUATION OF MECHANICAL INSTALLATION SPECIALTY D OTHER FLOOD ZONE AREA DYES DNO .....1.,..,11..111...11....1,..11.....111..'.'..1...11...11.1.11....111...,1111....11...111111..11111..........1111......1.,11111,11,1111111111111 BUILDER COMPANY SIGNATURE REGISTERED Y/N FEE CURRENT Y/N Address License # ELECTRICIAN I COMPANY SIGNATURE REGISTERED Y / N FEE CURRENT Y/N Address 1 License # PLUMBER I COMPANY SIGNATURE REGISTERED Y / N FEE CURRENT Y/N Address 1 License # MECHANICAL I COMPANY SIGNATURE REGISTERED Y / N FEE CURRENT Y/N Address 1 License # OTHER I~~~ COMPANY SIGNATURE . REGISTERED Address 13'""301 0 S ,2 5 L (?v !:JolC { (~J License # I [" C (0.)77'.r7 I 1 r I . I I I I I I I I I I I I I I I I I I I I I I , t I I I I I I I I I I I I I t 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 1 , . I I I I I I 1 I , I I I I I I I I I I I I , , , I I 1 I r , , I I I I I I I I , I , , . I , ~ 1 I I I I 1 I I I I I 1 I , 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 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. COMMERCIAL SIGN PERMIT 1111I1111I1I111111111111111111111111111111111111111111II..~~IIIIIIIIIII'I~.~~.IIIIIIIIII~III~IIIIIIIIIIIIIIIl'IIIIIIIIIIIIII~IIIIIIIIIIIIIIII.1111 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 Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW