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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received" Owner Phone Number Owner Phone Number I Owner Phone Number L Owner's Name Owner's Address Fee Simple Titleholder Namel Fee Simple Titleholder Address I JOB ADDRESS 5t?-7n~ I LOT # SUBDIVISION I PARCEL ID#I (OeT AINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR B ADD/AL T D SIGN D MOVE D DEMOLISH INSTALL REPAIR PROPOSED USE D SFR D COMM D OTHER I TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I DESCRIPTION OF WORK I ftZ2uAL d/tJ CJI1 ~ ~~& k# / .r- BUILDING SIZE SQ FOOTAGE I I HEIGHT I D 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 , r r . , 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 I , I , I I 1 I I I , I I I I 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 , J , I ~ I I I I I I I , I I 1 , I I I I I I I I I MECHANICAL SIGNATURE 1$ I 1$ I 1$ I 1$ Ljf FS-d" I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES CJNO 1111I11111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111I11111111I1111I I I I I I I I I I I D D o PLUMBING BUILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL AMP SERVICE D PROGRESS ENERGY D W.R.E.C. MECHANICAL VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE COMPANY REGISTERED Y I N FEE CURRENT Y/N Address License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N FEE CUR.RENT Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # I COMPANY I ~tltfAl~4/RE Clf/T. 4.,.;>. REGISTERED Y I N I. FEE CURRENT I Y I N Address Iltos- (];~~.s5 ST AU~4~ 3*,0 License # I OTHER I I COMPANY I SIGNATURE . REGISTERED Y I N FEE CURRENT Address I I License # 111111I1111111111111111111111111111I1111111111111111111111111I11111111111111111111I111111111111111111I1111111II1111I1111I11111111111I1111111111111 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 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, II1I1I1111111111111II1111I11I111111111111III1111111111I11111111111I111111111111111111I111111111111I1I111111111I1111I1111111111I11111111I1111II1111 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 authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC '" Y/N COMMERCIAL SIGN PERMIT Fences (Plol/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW