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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner's Address Fee Simple Titleholder Namel Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name Fee Simple Titleholder Address I LJ913 Ibfh 51 PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK I B o o I PARCELlD#l/ej. 210. 2/ ' DOIU "005 DU 4 (JoN (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D JOB ADDRESS LOT # SUBDIVISION DESCRIPTION OF WORK E1 o D I ADD/ALT REPAIR COMM FRAME o o D DEMOLISH WORK PROPOSED OTHER I STEEL D OTHER I 2-s3r HEIGHT I o o o o MECHANICAL r- D GAS ~oo:: FINISHED FLOOR ELEVATIONS I 1111111...,rllllllll"IIIII"'IIIII,I'IIIIIIIIIIII""1111111,1111111"'IIIIIIIIIII,lllllllrlllllllll"'111111111'llt"tll'11111111"'IIIIII""11 1$ 3 Jiu/ ou I 1$ 1 1$ I I o I I 111111111II11111I1111II1111111111111I11111111I111II11111111111II111II111111II1111II111111I1111III11111111I1II11I111111I1111111111I1111111I1111II1I I I I I I I I I I Address 133 OlcJ5tt..S-Z Po C,Of( l(rJ- I License # I CCC(JS7fr7 I 111111I111111111111111111111111I11111I111111I111111111111II111II1111111I111111I1111II111111II1111I111111111111111111II11111111111111111111111I1111 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 onslte, 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. 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11I11111111111111111111111111111111 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement 15 required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attomey (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 AlC SQ FOOTAGE I BUILDING SIZE BUILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL AMP SERVICE o PROGRESS ENERGY D W.R.E.C. PLUMBING VALUATION OF MECHANICAL INSTALLATION SPECIALTY D FLOOD ZONE AREA OTHER DYES DNO BUILDER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # ELECTRICIAN I SIGNATURE Address I PLUMBER I SIGNATURE I COMPANY REGISTERED Y/N FEE CURRENT Y/N License # COMPANY REGISTERED Y / N FEE CURRENT Y/N Address MECHANICAL I SIGNATURE Address I OTHER ~ SIGNATURE License # COMPANY REGISTERED Y/ N FEE CURRENT Y/N COMPANY REGISTERED License # I 1J~;ft?4dJ<vf0; ~~ In ~ I Y / N I FEE CURRENT I / N I COMMERCIAL SIGN PERMIT Fences (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW