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813-780-0020 City of Zephyrhills Permit Application Building Department ~ Date Received, Owner's Address Fee Simple Titleholder Namel t-aX-l:llj-{()U-UU": I Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address JOB ADDRESS I S -A- J'- 1 E SUBDIVISION I ~'\o-.".,J LOT # I ~ 71 rfO'CI l-CJ'V) S PARCELID#13t.j -.;20 - o.-l'-oi?6-6uc)C)o .-,Xllo (OBTAINED FROM PROPERTY TAX NOTICE) DESCRIPTION OF WORK J L7 I 5C Y' -e of:' tV \....U a Is BUILDING SIZE I /'1 Y /~ I sa FOOTAGE I / 9~ HEIGHT?J I II I I I I II I , I III II I I II I I , r r I I I I I , I , I I I III II T I , , 1 I I r I II , I III , II , II I . I , I I , I , . I III III , I I""fTTTJTPTTlII , I I I . , I1111IIII I I I , , flT'"TTT111 r II1I III II III I r I' I r I I B o D WORK PROPOSED B D D NEW CONSTR INSTALL SFR BLOCK AD DIAL T REPAIR COMM FRAME PROPOSED USE TYPE OF CONSTRUCTION ~ o o o DEMOLISH D MOVE SIGN OTHER I oS L r- e "IV STEEL D OTHER 0 BUILDING 1$ :J....)JtJL') 00 I VALUATION OF TOTAL CONSTRUCTION .:::..--- 0 ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY 0 W.R.E.C. 0 PLUMBING 1$ I D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ~NO I I I I I I I I I License # I I 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1I111I111111111I111 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 onsile, 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. II)I!I!!IIIIIIIIIII!IIIIIIIIIIIIIIIIIIIII!IIIIIIIIIIII1111111111111111111111111111111111111111111111111111111I1111111111111111111I1111111111111111 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 - J .~puWYS..need'ROW ,1111IO"'- ftIIiIIIftInOJ ~: . ., ..... II 'T ,IW ~ fY ... .' BUILDER SIGNA TUR ELECTRICIAN SIGNATURE COMPANY REGISTERED Address PLUMBER SIGNATURE COMPANY REGISTERED Address MECHANICAL SIGNATURE COMPANY REGISTERED Address OTHER SIGNATURE COMPANY REGISTERED Address 111111111111111 RESIDENTIAL COMMERCIAL SIGN PERMIT fo 7,50 I License # Y/N YI N FEE CURRENT License # YIN Y/N FEE CURRENT License # YI N Y/N FEE CURRENT License # Y/N Y/N FEE CURRENT Fences (PloUSurvey/Footage)