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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Owner's Name ~..) -,--.: ,---.-.., ~'.( ( ~ ) v Owner Phone Number Owner Phone Number I Owner Phone Number I Date Received l6 ~ 0.(1-0 tv I I I I Qccj Owner.s Address Fee Simple Titleholder Namel < ,: j \ " , ~ - ,-_.',)"-.. ,.. .....::,,1.") l _ \. JOB ADDRESS Fee Simple Titleholder Address I k~,\ ~"" I ( " \..~_.:> \ \,. j,,-. i PARCEL ID#I",-" LOT # NEW CONSTR INSTALL SFR BLOCK I B D D ~ PROPOSED USE D TYPE OF CONSTRUCTION D DESCRIPTION OF WORK I, \ \ C, L~(' '-, i- I l . \. \ , $., \-'1- '-'-' \ \ ' \ BUILDING SIZE I I SQ FOOTAGE I HEIGHT I TITrt..II'I"I,IIIIIII'..IIII'IIIIIIII'IIIIIIIIIIIII'I"'11111111111111'1'llllllllltrllll"IIIIIIIIII'1111111111111111"'1'11111"1111111111"'1'1 ADD/ALT REPAIR COMM FRAME ~/?--'-, <: I - C) 0 \ D .. 0 ~ \ 00 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH SUBDIVISION WORK PROPOSED D D D OTHER STEEL I D OTHER I o BUILDING 1$ I o ELECTRICAL 1$ I o PLUMBING 1$ I o MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION .' C<''n+-r. f20JS' o GAS D ROOFING D SPECIALTY D OTHER W~ FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO ~$\)~ I11111111111111111111111111111111111111111111111111111IIIIIIIIIIIIIIIIIIIIIIIII~IIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111II1I1111111I111111 I . . - fO ~ ~ I' -- ~ - - ~, I BUILDER ._------ . C6MPANY ) '- '-' - :>, ~ ) \ f, ' r --)-.. I - -( . - SIGNATU~ "- _ REGISTERED Y I N FEE CURRENT I Y I N Address I I:" . '- (I r \. T ~/ if' i ,? \ ) I License # I ~ I COMPANY REGISTERED I I I I I I I VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. to J 1/ <.oj C; ,f )( ,'~ ';- ,,- 2".'- -..-, 'i[-d\." :=.) --... . -) J I \...\,; i - ELECTRICIAN I SIGNATURE . Address I Y/N FEE CURRENT Y/N License # PLUMBER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # MECHANICAL SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # OTHER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N License # 1111111111111111111111111111111111111111111111I11111111I11II11111111111111111I111I1111111111111111111I11111111111I1I11111111111111 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. 111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 AlC Address 111111111111111 RESIDENTIAL COMMERCIAL SIGN PERMIT Fences (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW