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813~780-0020 City of Zephyrhills Permit Application Building Department Fax-8l ;j-7!lU-UU~l Date Received Id.-O~ gr Owner phone Number Owner phone Number I Owner Phone Nu~b~r I Owner's Name Owner's Address Fee Simple Titleholder NamJ Fee Simple Titleholder Address PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK ~\) s+., I ,PARCEL 10#1 B' o o FRAME Tthv ~=- SQFOOTAGE JOB ADDRESS s-.? '5 S LOTN SUBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE) SIGN 0 MOVE 0 DEMOLIsH WORK PROPOSED E3 D D I ADD/ALT REPAIR COMM D D D OTHER I STEEL 0 OTHER I I I' I DESCRIPTION OF WORK d HEIGHT I BUILDING SIZE . 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 1.1 . 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 D D BUILDING 1$ 1$ 1$ VALUATION OF TOTAL CONSTRUCTION ELECTRICAL AMP SERVICE o PROGRESS ENERGY D W.R.E.C. D D PLUMBING MECHANICAL VALUATION OF MECHANICAL INSTALLATION D GAS D FINISHED FLOOR ELEVATIONS I ROOFING o I SPECIALTY D OTHER 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 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 BUILDER COMPANY I SIGNATURE REGISTERED Y/N FEE CURRENT Y/N Address License # I ELECTRICI~~~ ~ COMPANY RQes.c- I SIGNATURE REGISTERED I YI N FEE CURRENT I Y/N I Address I License # I iJ"f. '~l~ ~ ~ I PLUMBER I COMPANY I I SIGNATURE REGISTERED Y/N FEE CURRENT Y/N Address I MECHANICAL SIGNATURE Address License # OTHER COMPANY SIGNATURE REGISTERED YI N FEE CURRENT Y/N Address License # 111"1111111111111111111111111111111111111111111111,1111111111111111111'111111111111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onslte, 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 onslte, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. SIGN PERMIT Attach (2) sels of Engineered Plans, ....PROPERTY SURVEY required for all NEW construcllon, . , , 111111111111111111111'111111111111111111111111,1111111,'".II",I,lllllllllllllillllllllliiilllllillilllllll1IIIIilillllillliilllilliiliiiiillillii 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 aulhorizlng same OVER THE COUNTER PERMITTING (Front of Appllcallon Only) Reroofs Sewers Service Upgrades AlC Driveways Fences (PloUSurvey/Footage)