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I BD-7BO-0020 Date Received Owner's Name Owner's Address City of Zephyrhills Permit Application Building Department /} r 4.; J{lo /-Yfpt Fax-B13-7BO-0021 lh J t',€ Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Nam JOB ADDRESS Fee Simple Titlehol~er Address I 5 Lj / if TalJtftJlJif (Jrire v 12e1JAI/' J!l/q)j,{ /J'fAll"'d.l I V' " ~ PROPOSED USE D TYPE OF CONSTRUc!:TION D DESCRIPTION OF WbRK I / nj /(jet. /lei .jJ()O / t20 \ x iJ</ / SQ FOOTAGE I SUBDIVISION WORK PROPOSED BUILDING SIZE LOT # PARCEL ID#I /al- ;1&- ";/- 0010 - o<JYw-a)6o NEW CONSTR INSTALL SFR BLOCK B D D (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH D D D ADD/AL T REPAIR COMM FRAME OTHER I STEEL D OTHER I fyo1 HEIGHT I BUILDING VALUATION OF TOTAL CONSTRUCTION 1$ r;UJ ,)'c{). (J I 1$ I 1$ 1 D MECHANIC\l\L 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 1111111...111...111..111111.....111...........11........II.I........I.I.~....IIIIIII............II.II.......1111.11....111............1111111... .0 :~~~~~RE I~S~c~( C'1~4-- - A:~J-f 2.1 fl) ~~:~~~~ I Imi'1.9-l FE~~iT ~ JrfJ~ ~".2Ac. I Address It ~ fJ. t! l r LIt License # I I :::~:~~;" \cJ i R~ t \#I- - A T';J7:J I ~ ~" Address ~'II r-tl.- J f.-Q1f License # I I J-/. \ '--' -i i/-tA. L L-t I , 11II ~~~::~:. . blll.IIII,. . , , . , , , 11111111 , , 1111I1111111111 ' , . II , I , 111111111. ! I , , , . , 1111 , ' I , I , I , I ~il~~~~~'~ , , , ,I, , 1111I111I , III , , ~ . . III , 11III11 " ~ttach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms inimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster ttach (3) sets of Building Plans; (1) set of Energy Forms. ainimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster II commercial requirements must meet compliance. ttach (2) sets of Engineered Plans. * .**PROPERTY SURVEY required for all NEW construction. I I I I I I I . ~ . I I I J 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 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 I I I I I Directions: . Fill out apPlicatio~comPleteIY' Owner & Contrac r sign back of application, notarized If over $2500, a otice of Commencement is required. (AlC upgrades over $5000) ** Agent (for the con~ractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTE~ PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) ~ ttJ rj;J ELECTRICAL PLUMBING PLUMBER SIGNATURE Address MECHANICAL SIGNATURE Address OTHER SIGNATURE RESIDENTIAL COMMERCIAL SIGN PERMIT AMP SERVICE 00 WR.E.C. D PROGRESS ENERGY t' L-- VALUATION OF MECHANICAL INSTALLATION ~~ 35t'::~ COMPANY REGISTERED License # COMPANY REGISTERED Y / N FEE CURRENT Y/N License # COMPANY REGISTERED Y/ N Y/N FEE CURRENT Driveways-Not oller Counter if on public roadways..needs ROW