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813-780-0020 City of Zephyrhills Permit Application Building Department t-aX-l:ll::l- ( l:lU-UULI Date Received Ro j ),(15 S/, Fee Simple Titleholder Address I !j73)' t/Jrf15 51 JOB ADDRESS Owner Phone Number Owner Phone Number I Owner Phone Numb~r I I I I I LOTt# PARCEL ID# I bOOO Ch~( IJvf- .. . . BUILDING SIZE I . SQFOOTAGE I I HEIGHT I . I I I I I I I I .. . . I I . . I .. .. I . , . . .. . . . . . . . . .. . . . . . . : . .. .. .. . .. . .. .. .. . .. . .. .. . .. . .. .. .. .. . .. .. . .. . .. .. .. .. .. . .. I . .. , . .. .. .. . . , . .. . .. . . .. . . .. I . . . .. . I . . .. I . SUBDIVISION I B' o o ADD/ALT REPAIR COMM FRAME WORK PROPOSED E1 D D I Ak NEW CONSTR INSTALL SFR BLOCK PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK I I I I o 1 SPECIALTY D FLOOD ZONE AREA o BUILDING 1$ o ELECTRICAL 1$ o PLUMBING 1$ o MECHANICAL 1$ .S)....& 5'. e>c o GAS D FINISHED FLOOR ELEVATIONS I o o o '4 - C).LP,-';:)\ - ODOb:" Ob260-- (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE 0 DEMOLIsH OTHER I STEEL D I I' I OTHER I VALUATION OF TOTAL CONSTRUCTION AMP SERVICE t=J D W.R.E.C. PROGRESS ENERGY VALUATION OF MECHANICAL INSTALLATION ROOFING OTHER DYES DNO 1"""""""""""""""""""""'1"""'"""""'1"""""""""""1""""';""".""""",,"""'1""""""""""'" 1111111111' I' 11111111111111111111'11111111'11111111111111111111111111111111111111111111111111111111111111111111111111 i 1111111111111111111111111111 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, Construcllon Plans, Sanitary Facilities & 1 dumpster COMMERCIAL Allach (3) sets of Building Plans; (1) set of Energy Fonns. Minimum ten (10) working days after submillal date. Required onslte, Construction Plans, Sanitary Facililles & 1 dumpster All commercial requirements must meet compliance. SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for ali NEW construction. . 111111111111111111111111111111111111111111111111",111l'I.IIIII.lllllllllllllllillllllllliiilllllillillllili1IIIIilillllillllilllilliiliiililiillii 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 lelter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Applicallon Only) Reroofs Sewers Service Upgrades AlC Driveways Fences (PloUSurvey/Footage) BUILDER SIGNATURE COMPANY REGISTERED Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Address PLUMBER SIGNATURE COMPANY REGISTERED Address ~ MECHANICAL- \"~ SIGNATURE ~ Address I P D P:> o)i.. \ '5 '::>0 6<f5 OTHER I SIGNATURE Address I I COMPANY REGISTERED --"IrA-' ~0 I COMPANY REGISTERED Y/N FEE CURRENT Y/N I I I I I I I I I I License # Y / N FEE CURRENT Y/N License # Y / N FEE CURRENT License # I I ~\-tt I~Q ~..IL . Y / N I FEE CURRENT License # I Y/N Y/N Y / N FEE CURRENT Y/N License #