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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 Name Owner Phone Number Owner Phone Number l Owner Phone Number r Fee Simple Titleholder Address JOB ADDRESS 3lS"5""3'3 H~Jt.. T dtf- 7--1-/1 {( 5 LOT # PARCEL ID#I 0;). ~ 20:>- "'2 \ - 0(5'0-0 -Od-. '%60 - O\C}-U (OST AINED FROM PROPERTY TAX NOTICE) ~~~0 D SIGN D MOVE D COMM D OTHER I FRAME D STEEL D I E1 NEW CONSTR ~ INSTALL D PROPOSED USE D SFR 0 TYPE OF CONSTRUCTION D BLOCK 0 DESCRIPTION OF WORK I Repllf-CE () 1-,1'; /'6/E BUILDING SIZE I . I SQ FOOTAGE I HEIGHT I 111"'111"11'1111'"11'"11'"11"111'111"111111111"111'"11'111'11'"111"11'1111'1111111"11"111"11..'1"1111"11"1111"111111"111"11..11'"111111'..111'111 1$ I 1$ I . 75D~ D PLUMBING 1$ I D MECHANICAL 1$ I D GAS D ROOFING 0 SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111 I I I I I I I I I I SUBDIVISION WORK PROPOSED o ~ DEMOLISH OTHER I VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY BUILDING I~I AMP SERVICE 100 ELECTRICAL c2;L D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION License # 11111111111111111111111111111111111111111111111111111111111II11111I1111111111III1111I1111111I11III11111111111111II111I111111111111 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. 11I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111 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 Ale BUILDER SIGNATURE COMPANY REGISTERED Address ELECTRICIAN SIGNATURE A~ d Address PLUMBER SIGNATURE COMPANY REGISTERED Address MECHANICAL SIGNATURE COMPANY REGISTERED Address OTHER SIGNATURE COMPANY REGISTERED Address 111111111111111 RESIDENTIAL COMMERCIAL SIGN PERMIT Y I N FEE CURRENT Y/N License # IIbLJA,xt4oo 5(" rlr:~-I. I ~ N I FEE CURRENT License # I 10N 7~~~ Y/N Y/N FEE CURRENT License # Y I N Y/N FEE CURRENT License # Y/N Y/N FEE CURRENT Driveways-Not over Counter if on public roadways..needs ROW Fences (PloUSurvey/Footage)