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Date Received '-. 6>-07 3"",\ \~ City of Zephyrhills Permit Application Building Department 8103-780-0020 Owner Phone Number Owner Phone Number I Owner Phone Number I [' f:l \", ~ Owner's Name Owner's Address I Fee Simple Titleholder ~amel JOB ADDRESS Fee Simple Titleholder Address 'I 'I 6 \ '"-\l\ A D 'o~~\ 1 ~ ,\'"~ ()~'-\~~ \J \\.\~)J s'\ Q" ~ ~ ~ 'y/'- PARCEL 10#1 ()3 ~) \' . I LOT # I -16-),' -02.00 ..06000 -oot:'q (qBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D SUBDIVISION WORK PROPOSED (I .../NEW CONSTR G2r INSTALL D SFR D BLOCK B D D ADD/AL T REPAIR COMM FRAME DEMOLISH PROPOSED USE TYPE OF CONSTRUCTION OTHER STEEL DESCRIPTION OF WORK \ \ :I<- I' ' pUILDlNG SIZE I I SQ FOOTAGE 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_ I I I . . 1_ ~ I . .- I I I . . .1 . 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 . pI. . I I I I . I I I I I I . . I . . . . . I . I I . . . I . . I . . J D '/\ kkrv OTHER o BUILDING VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL ~LUMBING AMP SERVICE D PROGRESS ENERGY D W.R.E.C VALUATION OF MECHANICAL INSTALLATION I COMPANY REGISTERED YI N FEE CURRENT BUILDER SIGNATURE Y/N Address EL':=CTRICIAN I SI~NA TURE , Address I ::.:'~~~E I//!--.p J ~ I ~E:= Address /3) I..\. \.l ';' '\C: ~ -\ ~ 1/1. 3~)'4 ') I License # / MECHANICAL I I COMPANY I SIGNATURE , ,REGISTERED YI N FEE CURRENT, yrN Address I License # I OTHER I COMPANY I SIGNATURE , REGISTERED I' Y I N FEE CURRENT Y I N Address I / License # I I I I I111I111111111 r 111111111111111111111' 11II111I11111I1111111I111111111111111111 i IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIJ I111111I11 I II1I RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsile, ConstrucUon Plans, SanllalY FaclliUes & 1 dumpster Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) workIng days after submittal date. Required onslle, ConstrucUon Plans. SanitalY Facilities & 1 dumpster AU commercial requirements must meet compliance. Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 111111111111111111111111111111111111111111I111111111 J 1111111111111111111111111111 1111 111111 111,1111 11111 II III III 1111111 II 1111111111111111 III 111111 I DIrections: ' , Fill out application completely. Owner & Contractor sign back of appllcaUon. 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 OVER THE COUNTER PERMITTING (Front of AppliCation Oniy) , Reroofs Sewers ServIce Upgrades NC License # COMPANY REGISTERED Y/N , FEE CURRENT Y/N License # COMMERCIAL SIGN PERMIT Driveways Fences