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813-?80-0020 City of Zephyrhills Permit Application Building Department Fax-813-78U-UU:l1 ate Received --;2 S--- 0 Owner Phone Number Owner Phone Number I Owner Phone Number I Jwner's Name 'Zo ~~....:. ~~ ~Z.I'~TL~ Owner'sAddress I :'lto4-~ ~~\~Gs-c;;. C\"-.. Fee Simple Titleholder NamJ JOB ADDRESS Fee Simple Titleholder Address I 1466% J <03\0 I ~'WJb I PARCELlD#I..::> 3 -,;2t -:J../- oo/cr 0<6/ (;CY' ooOD (OBTAINED FROM PROPERTY TAX NOTICE) SIGN ro MOVE 0 GDLL I 00 NEW CONSTR c=J ADD/ALTO D INSTALL D REPAIR PROPOSED USE 0 SFR D COMM 0 OTHER TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL D DESCRIPTION OF WORK I ~ \ L..1:;) C,s:)VW'\ ~E.<l...c..., '(:) '- ~ \ c:s \ ~ BUILDINGSIZE I 4--,~~~-L SQFOOTAGEI \1~ ~, I HE:GHT Il \) , I """"""""""""""'~,~,~~,.,""',.,"".".""""..""""",.""".".""".",,""""'""",."""."""""". D BUILDING U4,\ S~~ I D ELECTRICAL 1$ l S6:)~ I D PLUMBING 1$ 5~a 0 I D MECHANICAL 1$ I I \;j;:) 0 ~ , D GAS 0 ROOFING D FINISHED FLOOR ELEVATIONS I I LOT # SUBDIVISION DEMOLISH WORK PROPOSED OTHER I VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o ~~~~ VALUATION OF MECHANICAl INSTALLATION / ~ SPECIALTY 0 OTHER {'Ie <<CJl..0 - l-tCl..J:) ~~'l . .. FLOOD ZONE AREA DYES ~NO !tI~ 1 ~v~Y'U), J ,0 f '3 tc(c~ ~ PROGRESS ENERGY W.R.E.C. ,,111..1111..111111111111111...111...111..11..11111111............11..1111.111..11......11.1111...1111..........11.....11...11111...1111111.....11 BUILDER i ^ d I/. . ;J "I /l~ J// J2 J ,/ SIGNAnJRE .~ U/V~ Address . ELECTRICIAN I /l A ;J", . /) ./1,.. rL.J2A ~ JJ '" A.f' SIGNATURE .~~ Address I ~~::r~~E lo%/~~~4~ I I COMPANY REGISTERED I cs.U:~ T"~~ ~~r I ro/ N FEE CURRENT I -Q?/ N License # I I rrv(::l.(2:::;t\':> I@N I COMPANY REGISTERED COMPANY REGISTERED License # ~N ~E~~~~T License # I ~<LS ~e~Jl I ~ N I FEE CURRENT ~c:..., FEE CURRENT I @ N I COMPANY REGISTERED I @IN Address MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE Address I ~;<I~I ~ ~ c... I Y /N I License # COMPANY REGISTERED Y / N FEE CURRENT Y/N License # 11111111111'111'11111111111111111111111111111111111111111"1111..111111111111'111111'11111111111111..11111111111111111'.111'1111111111""'111'111 II H II IIII H IIII IIII II II. 1111111111. ~ II. I IIII .& II. ~ ~ III . II. II. 1111. 1111. . IIIII1II1IIIII Hili H ~ II .III . III ~ 1111. II . ~ I .& H . 1111111111 ~ 11111111111111 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 Fences (Plot/Survey/Footage) 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. RESIDENTIAL COMMERCIAL SIGN PERMIT Driveways-Not over Counter if on public roadways..needs ROW i''" ~ ~ i t.