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613-760-0020 City of Zephyrhills Permit Application Building Department r-ax-o l,j- (OU-UU,:: I Date Received I I I 13&0'19 (a.wQ. I\(\Qq Lp I I.OT# l~iX511 IWAywNld 1.t\~ld.1bb;le ~~PARCELID#I/(I--:JJC)/(Jt ~() ) (,,0 -omon-os-to I (OBTAINED FROM PROPERTY TAX NOTICE) D SIGN 0 MOVE D D D Owner Phone Number Owner Phone Number I ~' , .3 - Owner Phone Number I Owner's Name Owner's Address Fee Simple Titleholder Namel Fee Simple Titleholder Address JOB ADDRESS SUBDIVISION WORK PROPOSED B PROPOSED USE D TYPE OF CONSTRUCTION D DESCRIPTION OF WORK I ~ rOo ~ BUILDING SIZE ISQ FOOTAGE I ~ s- t:l HEIGHT I I P , . 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 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 . 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$ . fl:7~6V 1$ 1$ ~( ROOFING FINISHED FLOOR ELEVATIONS I NEW CONSTR INSTALL SFR BLOCK B D D ADD/ALT REPAIR COMM FRAME DEMOLISH OTHER I Rp/~~ STEEL 0 OTHER I MECHANICAL I I I I D I AMP SERVICE D PROGRESS ENERGY D W.R.E.C, D BUILDING VALUATION OF TOTAL CONSTRUCTION D D D ELECTRICAL PLUMBING VALUATION OF MECHANICAL INSTALLATION D GAS SPECIALTY D FLOOD ZONE AREA OTHER DYES DNO "'111,,"'1'1'11'1111"111"""""'1"1'1111""'1'11""1,,111""'1""'1'1""11""""1'111111'1'1"11""1"..111'1..1111".,11.'11..11'" BUILDER SIGNATURE COMPANY REGISTERED YI N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT Y/N Address COMPANY REGISTERED ELECTRICIAN SIGNATURE Y/N Address COMPANY REGISTERED PLUMBER SIGNATURE Y/N Address Address License # I OTHER COMPANY I \J\\~I','$ ~'* ~t\l~ TNc... SIGNATURE' REGISTERED I Y I N I FEE CURRE T I Y I N Address .'. -l0~.s~ :S~:~.f'il:.r,,5+: r~d ~ FL-, ~(gO f License # Ieee oy 6 91.{~ I 1111111I1111111111 ~ 11111 ; 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-O-W Pennit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Pennlt for subdivlsionsllarge projects Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Pennit for new construction. Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stonnwater Plans wI Silt Fence Installed, Sanitary Facilities & 1 dumpster. Site Work Pennlt for all new projects. All commercial requirements must meet compliance Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 i 1111II11111111111I11I1II1I1II11111 i IIII1I11I11II111II 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 SelVlce Upgrades NC COMPANY REGISTERED MECHANICAL SIGNATURE Y/N COMMERCIAL SIGN PERMIT Fences (PloUSulVey/Footage) Driveways-Not over Counter If on public roadways..needs ROW