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. Date Received Fax-813-780-0021 '9 -a ~.? City of Zephyrhills Permit Application Building Department 813-780-0020 Owner's Name (J;EI<. E CI1C1c1r!- Owner's Address 15918 l.AteJ<7' $"1- Fee Simple Titleholder Namel Owner Phone Number Owner Phone Number I Owner Phone Number I JOB ADDRESS Fee Simple Titleholder Address I , I t)~'f8 UU.Il'f ~-f Ilj; f.6.;fvE 111# fJ LOTI I PARCELlD#I/z -Zu-z/ -0026- () o~o - baoo (q8T AINED FROM PROPERTY TAX NOTICE) SIGN D MOVE 0 SUBDIVISION I D NEWCONSTR c=J ADD/All D INSTALL D REPAIR [EI SFR D COMM D BLOCK D FRAME I ~k-C-IKIL ,5CX1hLE V/J-7/U)c/~ ~. I SQ FOOTAGE I ~ o o DEMOLISH WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION OTHER I STEEL D I . I I. . I I . I I I I . I I I . . . I . I . . . I I'. . I .' . . . . I. I . I . I I, ~ I . . I I . I . .. I . . . . . . . . . . . I I . I . I . . . . . . I . . . . I I I . I . . I I . I . I . . . . . . I . . . I . . I . . . . . I . . I I . I I I I I . I . I . . . I . I I . . . . . I . I I . I ,#mvr( Ch~/Z./7C , I HEIGHT I OTHER I tJuf I I I DESCRIPTION OF WORK BUILDING SIZE SIGN PERMIT D BUILDING 1$ m ELECTRICAL 1$ I S-DO C- 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 I COMPANY SIGNATURE REGISTERED Y / N FEE CURRENT Y / N Address ! ' ~~~r:~N I Cf-p K ~ Address I f'l'i~ ~*,c."X den/c-, 7~lfc/15 ?3,s--'f'ol License # I C?~5 I PLUMBER I I COMPANY I SIGNATURE . . REGISTERED Y / N FEE CURRENT Y / N ,Address I 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 / N Address I I License # I I 1I1111111I11I11111I11I1111I1111111I111111111111111111I1IIIIIIIIIIIIIIIIIIIIIIIIillllllllllllllllllllllllllll111I1111111111111I1111111111I1111II111 RESIDENTIAL 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 Atlach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) working days after submltlal 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. 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 Atlorney (for the owner) would be someone with notarized letler from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC VALUATION OF TOTAL CONSTRUCTION AMP SERVICE [00 -h 2Z>o II ~ PROGRESS ENERGY D W.R.E.C VALUATION OF MECHANICAL INSTALLATION License # COMPANY REGISTERED COMMERCIAL Driveways Fences (Plot/Survey/Footage)