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813-780-0020 City of Zephyrhills Permit Application Building Department t-aX-lll;J-/IlU-UULl Date Received . U, 2-00~ Owner's Name -PAUl,.. ~ ~()..r4.... Owner's Address I D~5o~ NcA-h' AU€-. . Fee Simple Titleholder Namel 2ephy~'I(h,1 I Owner Phone Number <6lo..%"b-4Sa Owner Phone Number I Owner Phone Number I WORK PROPOSED Fee Simple Titleholder Address I 1~~5 O~ Nc<th f\vL ~\"Vhal~ FL ~n~,.) , LOTi I I I PARCEL ID#I ~ ~_.a.(P - ~I- 0050 - Cooco - CJ II ~ . (OBTAINED FROM PROPERTY TAX NOnCE) o NEW CONSTR [KJ ADD/ALT D SIGN D MOVE D DEMOLISH D INSTALL @ REPAIR PROPOSED USE D SFR 0 COMM D OTHER I TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I DESCRIPTION OF WORK l1<~oco-+v ~\( IL- ~ ~vcW. ~ .-tD 2oa~ C\}uh.ta..d. BUILDING SIZE I ISQ FOOTAGE I I HEIGHT I I I I . I I . . r , ~ . I I I . I I If. I . . I I r . 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 JOB ADDRESS SUBDIVISION D BUILDING 1$ [E] ELECTRICAL 1$ """ ~I \SD, C$J D PLUMBING 1$ D MECHANICAL 1$ D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO ..'.'1.111.....111...'.'111""1.111.111111..111"""""'11""'.'11111""1111""'.'11""........11..'11;..'.'1111111'....'.....1.......11111' VALUATION OF TOTAL CONSTRUCTION AMP SERVICE &00 [X] PROGRESS ENERGY D W.R.E.C, VALUATION OF MECHANICAL INSTALLATION COMPANY REGISTERED BUILDER SIGNATURE YI N FEE CURRENT Y/N I 3~-O~lc~1 I COMPANY REGISTERED License # ~~E-lecrnULL \~~A N I FEE CURRENT I en N I License # I Ecl~l~$~ Address ELECTRICIANk \ h r A (^ SIGNATURE ~ ..\LlV L--c....-. ~ Address "P O. B~ c&o~ ~4mln<3' fL PLUMBER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # MECHANICAL SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # OTHER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address 111111111111111 RESIDENTIAL License # 1111111111111111 I 1111111111111 I 1111111111111111111111111111 1 1 11111111 I 111111111111111 1 1 111111111111 I 1111111 1 I 1 1111111 I III I III 1 1111 Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence Installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans wI Slit Fence Installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance Attach (2) sets of Engineered Plans. ****PROPERTY SURVEY required for all NEW construction. 11.1 III! 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (A1C 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 NC COMMERCIAL SIGN PERMIT Fences (PloVSurvey/Footage) Driveways-Not over Counter If on public roadways..needs ROW