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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-00~ ~'lP Date Received I B D D ITV\~T~ Sewil(" SQ FOOTAGE I B D D NEW CONSTR INSTALL SFR ADD/ALT REPAIR COMM FRAME I I I LOT# 130:3 I PARCELID#I ztJ-U,-Z!-Cii5D-[j.)OOQ-3036 I (OBTAINED FROM PROPERTY TAX NOTICE) D SIGN 0 MOVE 0 o D l{.JS~ wner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name Owne(s Add.... I "3~ 4 --p~ rrt'L. clr-. Fee Simple Titleholder Name Fee Simple Titleholder Address JOB ADDRESS SUBDIVISION WORK PROPOSED DEMOLISH PROPOSED USE TYPE OF CONSTRUCTION BLOCK OTHER STEEL I o OTHER I DESCRIPTION OF WORK L; /kt, HEIGHT I BUILDING SIZE ,..,....,.,..,',..,.".."......,..,..",.....",....,....,.....,.,..",.....",..,.,..........",..,..,..".,..,.......""....................., 1$ I 1$ I 1$ 300 ' 00 I D MECHANICAL 1$ I D GAS D ROOFING D SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 111111111 I 11111111 I II I 11111111111111111I11111111111111 I I I III I 111111111111 I 1111111111I1111111 I I I I 1111111111 I 1111111111111111111111111111111111 I I III D D 0/ VALUATION OF TOTAL CONSTRUCTION BUILDING ELECTRICAL AMP SERVICE D PROGRESS ENERGY D W.R.E.C PLUMBING VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE Y/N FEE CURRENT Y/N I I I I I I I I I I COMMERCIAl. Address ELECTRICIAN I SIGNATURE , Address I ::c:':'~~E I~..M$ I Address / 3~144 e~ SCj e Z'f1v,~~iJt-; ME, CHANICAL II SIGNATURE , , Address I OTHER I SIGNATURE Address I License # 111111111111111111111 I 1111 I I I II I I 111111111111 I 11111111111 I I1111 I 111111111111111 i III I I 111111 I 111111111111111111111111111111 J II I I I " I "II" I I 1I11111 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 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, COMPANY REGISTERED License # COMPANY REGISTERED Y/N FEE CURRENT Y/N License # COMPANY REGISTERED ~~h;~ ( 'J N I tJ ~ nl~S -:!:he. FEE CURRENT 'Y / N I License # I ~ F C, I L( 1- S ~ 0 ~ FI./ COMPANY REGISTERED Y/ N FEE CURRENT Y/N License # COMPANY REGISTERED Y/N FEE CURRENT Y/N SIGN PERMIT 1II11111111I11111II1111I111II11111I1111I1111111I111I11111111111111111I1111111111111I11111111111111111111I11I111111111111111111111111111111111111I1 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 NC Driveways Fences (Plot/Survey/Footage)