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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner Phone Number - 7 I L( r ~ r G, OWner Phone Number I &? f 71 - 7 c? () - ~ ~ 5" 0 Owner Phone Number I Owner's Name 0 e 2. N A (, (}o Owner's Address I c:;- <-r 7 ( l.~ -;: 1-' ~ {. Fee Simple Titleholder ~amel JOB ADDRESS Fee Simple Titleholder Address I Is lJ /7 I ~c (-' )712f'~( I PARCEL ID#I B D D LOT # SUBDIVISION (QBT AINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH WORK PROPOSED B D D I 't2-E- qI,2 b 0 I NEW CONSTR INSTALL SFR BLOCK ADD/AL T REPAIR COMM FRAME D D D OTHER I STEEL D PROPOSED USE TYPE OF CONSTRUCTION OTHER I DESCRIPTION OF WORK c::. - 7 I..{ '2 JI'( C, L..r,: C; SQ FOOTAGE I ~UILDING SIZE HEIGHT 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 ~ BUILDING 1$ ~l,u~; OG)c:. VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL 1$ D PLUMBING 1$ D MECHANICAL 1$ D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 BUILDER ----;r /1 COMPANY 1-( 0 ~ €- b ~,....... r /2- I SIGNATURE / r /' ~ REGISTERED I Y / N I FEE CURRENT I Y / N License # I I I I I Address License # I ME.CHANICAL I COMPANY I SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N Address I License # I OTHER I COMPANY I SIGNATURE . REGISTERED I Y / N FEE CURRENT Y I N Address I License # I 1111111111111111111111111111111111111111111111111111111I111111111111111I1111111 i 111111111I1111111111111111111111111111111111111111111111111111111I RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Requh'ed 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. 11111111111111111111111111111111111111111111111111 J 111111111111111111 J 1111111111111111111111111111111111111111111111111111111111111111111111111111 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 AMP SERVICE D PROGRESS ENERGY D W.R.E.C VALUATION OF MECHANICAL INSTALLATION Address <fef ,? l ~ 7 ff "7 I, ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N COMMERCIAL SIGN PERMIT Driveways Fences (Plot/Survey/Footage)