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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner's Name l:Jn )e./ Fee Simple Titleholder Address ~ LOT # 125} PARCEL 10# I 3'1'25 -7 __) - 0 / ~70 'ooOQ:]-25l () (OBTAINED FROM PROPERTY TAX NOTICE) D SIGN D MOVE D G' OTHER '{V}()bJ~, hofY1/./ D STEEL D OTHER I JOB ADDRESS SUBDIVISION WORK PROPOSED Er D ADD/AL T REPAIR COMM FRAME NEW CONSTR INSTALL SFR DEMOLIsH I I I HEIGHT I "1111111111111111111111"'111111111111"11111111111"11........111.....11.11.111.............11111.11111.........11111.1.1.111111111.111111111.', 0 BUILDING 1$ 6~OOO ,60 I VALUATION OF TOTAL CONSTRUCTION 0 ELECTRICAL 1$ )DCD,O(} I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. 0 PLUMBING 1$ 2~{). 00 I 0 MECHANICAL 1$ / roD. 00 1 VALUATION OF MECHANICAL INSTALLATION 0 GAS D ROOFING D SPECIALTY D OTHER ~ FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES 1111.111....'111.........1111.11.1111..........111111..........1111......1111..,1'1111111...'....111.1111111111111...11.......11111.......1111.111 BUILDER SIGNATURE Address it., 7 e-l ELECTRICIAN! 9-,~ ~~ ~---'-'" SIGNATURE '~/~ Address COMPANY REGISTERED PLUMBER SIGNATURE Address MECHANICAL SIGNATURE Address OTHER SIGNATURE I COMPANY REGISTERED Address I I I I . , I I , I I I I r , I I I I . . , , I I I I I I I I , I I I I I I , I I I I . . r I I I , .1 I I I I , . , , II I I I I I I I I ~ I I I , , I , I I I I II r , , r I I I I 1 I I I 11 , r , I I I , I I f I I I I I I , , I , , I , I I II , , I I I I I I , r , , I I I I I II I I 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) !'iet of Energy Forms. Minimum ten (10) working days after submittal dale. Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requiremenls must meet compliance. Attach (2) sets of Engineered Plans. ....PROPERTy SURVEY required for all NEW construction. RESIDENTIAL COMMERCIAL SIGN PERMIT I ~;;:fel1J.~f!S License # I Y/N Irte Y/N FEE CURRENT Y/N License # I /' - I ~~+I~~ij IYl/-I r Y I N FEE CURRENT I License # I Y/N ~~/ Y I N I Y/N FEE CURRENT License # YI N Y/N FEE CURRENT License # 1111&111111.1111 ~ .111& 1111111111111111.1111...111.1111. ~ .1.1111111.11111..11111111111111 illlll.llllllllllllll. ~ III i 1I11I11I ill 1II11 I ~ I ~ lilll i i II i i Directions: Fill Qut application completely. Owner & Conlractor 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 lelter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades AlC Driveways Fences (PloUSurvey/Footage)