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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 D _ NEW CONSTR CJ c:v INSTALL CI PROPOSED USE D SFR D TYPE OF CONSTRUCTION D BLOCK D DESCRIPTION OF WORK IlY'ldJJ \(1- -~. se-t Up BUILDING SIZE 11')1. r; I I SQ FOOTAGE I jr; X> ) 1111111111.11..........1111,...11.............1........................1111....1111111111111......11111.11.........1..1...11.....1111...111111111. D BUILDING 1$ ?h666, c:D D ELECTRICAL 1$ /C:()6.00 D PLUMBING 1$ 250. DO D MECHANICAL 1$ J ;60. D0 D GAS D FINISHED FLOOR ELEVATIONS I JOB ADDRE SUBDIVISION WORK PROPOSED ADD/ALT REPAIR COMM FRAME LOT# 12/1 I -oooco- 2/90 D d D ). I 7 lOST AINED FROM PROPERTY TAX NOTICE) SIGN D MOVE 0 DEMOLIsH OTHER frv}r')b I ( e _ V1 G}rl..(2j STEEL D OTHER I I I- I ROOFING I I I I D I SPECIALTY D FLOOD ZONE AREA HEIGHT I AMP SERVICE VALUATION OF TOTAL CONSTRUCTION W.R.E.C. D o PROGRESS ENERGY VALUATION OF MECHANICAL INSTALLATION OTHER DYES [bdNo 1111................11...11.........1111...11..........................11111..11111111111.11...11.'11.11111......11111......111111.111....11.11111 BUILDER SIGNATURE Address g gc M-I-{<.".I) (L,{ [0/1 e. ELECTRICIANl r"~_ ~ ~_ --~--'~-~"- SIGNATURE . Address COMPANY REGISTERED PLUMBER SIGNATURE Address Address OTHER SIGNATURE COMPANY REGISTERED Address I ~f'luivd M f-{S Y / N I FEE CURRENT I Y / N License # I I~Le. Y/N FEE CURRENT Y/N License # I I *~~~u{;!ffj License # I Y/N Ilkf / I Y / N FEE CURRENT Y/N License # Y/ N Y/N FEE CURRENT License # I I It. . I , I . I , I I , . I I r I t I I I , I t I I , P , I I . , , I I I I I I , . I I I I I II I I I . , , I I I I I r I I I I I I ~ , r , I I , , , I I I r , I , , I , , , I 1 I I I r , , I I , I I I , r I I I I I I II I I I , , , I I I I , I I I I , I I I I I , r I I . . , I 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 onslte, 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 onsite, 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. RESIDENTIAL COMMERCIAL SIGN PERMIT II' . 111111111. 111I III. I III .. III , I II HI 1111. HI. H ~ .. II . . II , I . I 1111 . . II , . III d I III HI.. 1111 & I1111 H . 1111. .. i I1III11 i I 111111II11I H I II ~ I. i i 111111 Iii Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (A1C 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 NC Driveways Fences (Plot/Survey/Footage)