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813-780.0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner Phone Number Owner Phone Number l OWner Phone Number I Owner's Name 2, /-J . JOB ADDRESS Fee Simple Titleholder Address I I 'I <;: A-J! C- , , Address , ME,CH,ANICAL I SIGNATURE Address I OTHER SIGNATURE I I PARCELlD#1 0 L L ~ '2-/ () V Y 1j (') 0/ fJ'() & J ~ () (q8T AINED FROM PROPERTY TAX NOTICE) ~ NEWCONSTR 0 ADD/ALT 0 SIGN 0 MOVE 0 o INSTALL u::J..-' REPAIR PROPOSED USE 0 SFR 0 COMM 0 OTHER I TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL D DESCRIPTION OF WORK I ~ IlO()~/;J i-- ) s: '9 ,<;/J /~/?c- C-S ~U1LDlNG SIZE SQ FOOTAGE I I HEIGHT I . I . .. ...........................'................;........,..................................:..........................................................1 LJ BUILDING 1$:2 L/ PO, % I VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY o PLUMBING 1$ I D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION o GAS ~ ROOFING 0 SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111111111111111111111111111111111111111111111111111111111111111111 , 11111111111111111111111111111111111111111111111111111111111111111111111111111 :::J~~~RE . I ~~:= I Y I N FEE ctJRRENT Y I N I I I I I I I I I I LOTti SUBDIVISION DEMOLISH WORK PROPOSED OTHER I I I I D W.R.E.C Address License # ELECTRICIAN SI~NA TURE COMPANY REGISTERED Y/N , FEE CURRENT Y/N Address License # COMPANY REGISTERED PLlJMBER SIGNATURE Y/N FEE CURRENT Y/N License # COMPANY REGISTERED YI N FEE CURRENT, Y/N License # COMPANY REGISTERED ~ftl/! ~ KYI N I f (Fo;CJ;;'~ FEE CURRENT , I C.~I N I License # I f L 0 tJ cJ bL LJ I Address OfT})&- C if;, COMMERCIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsile. Construction Plans, Sanilary Facilities & 1 dumpster Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) working days after submittal date. Required onsile. 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 Attorney (for the owner) would be someone with notarized letter from owner authorizing sarnl'l OVER THE COUNTER PERMITTING (Front of Application Oniy) , Reroofs Sewers Service Upgrades AlC l' I , RESIDENTIAL SIGN PERMIT Driveways Fences (PlotJsurveY/Footag~f