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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Phone Contact for Permitting ~Pr\ rr1es. 813) 7&- i 2 ,'3 Owner Phone Number 1['8103) 28, - ilS0? Owner Phone Number I U t8--0lo -- Owner's Name +-e ( n a n do _ Owner's Address' 15 Z\ l.\ I~-th. SflZ-Ee -T Fee Simple Titleholder NamJ I I I ZEPtt'lf!-ttJL.L$,+:/. 33S"<(2-2/5~ LOT# 1/~/9,".2p , PARCELlD#1 J I ~ ZtrZI -DoIO--/'1800--{)1 eO I (OBTAINED FROM PROPERTY TAX NOTICE) SIGN 0 MOVE D Z' ii/uS I 1 Fee Simple Titleholder Address 5'21Lt t t)fh. 5r2Ec I I E3 NEW CONSTR [=::J INSTALL D PROPOSED USE D SFR D TYPE OF CONSTRUCTION D BLOCK D --DESCRIPTION OF WORK I 'Bui I'D BLDC/< Ff:NC [; I SQFOOT~EI311 ~ 3'JI - JOB ADDRESS SUBDIVISION WORK PROPOSED ADD/ALT REPAIR COMM FRAME D D D DEMOLISH OTHER STEEL I o OTHER I HEIGHT I ~ / BUILDING SIZE .....111.........111..111..11..........11.......11.....................................11.........111...11.......11..111.....11.11.111111......... D BUILDING 1$ .b(4Sb ,00 I VALUATION OF TOTAL CONSTRUCTION 0 ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY 0 W.R.E.C. 0 PLUMBING 1$ I 0 MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION 0 GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO . 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 , P . 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~~~RE V\Fer""l>do ".-- . .~ a I ""e5. COMPANY REGISTERED \--~'""\-vl0l....\.....'"'<\..CL^-- Y / N I FEE CURRENT Y/N Address License # COMPANY REGISTERED ELECTRICIAN SIGNATURE Y / N FEE CURRENT License # Y / N FEE CURRENT License # Y / N FEE CURRENT License # Y/N FEE CURRENT License # Y/N Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address COMPANY REGISTERED OTHER SIGNATURE Y/N Address 111111111"'111 '1111111111'11111"'11111'1111'1111111111111111""'"1111111111111111111111""111""111111111111111""11,,1'111111111111111111 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 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 I 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 A1C Fences (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW