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.813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner's Name Owner's Address Fee SImple Tltleh~lder Name I F.. ...... .-1-....- I JOB ADDRESS I I ld7 40 ~u...-~ G.i:L - i-o\. tt ~ I SUBDIVISION tl lb/', +~ WODd Pkcse'~ I WORK PROPOSE [z-c::J NEW CONSTR B ADD/All D INSTAll REPAIR PROPOSED USE D SFR D COMM TYPE OF CONSTRrcnON (:g BLOCK D FRAME DESCRlPTlONOFrrRK I ~ Un: A To,",^ f\.,~eJ BUILDING SIZE I SQ FOOTAGE I g 12 ~ Owner Phone Number Owner Phone Number I Owner Phone Number I PARCELlDll01 lOT' o D D -2.(.,. ~'-OOIO- D;2,&Oo-oolO (OBTAINED FROII PROPERTY TAX NOllCE) SIGN D MOVE 0 DEMOLISH OTHER STEEL OTHER I HEIGHT [XJ BUllDIN 1$ I VALUATION OF TOTAL CONSTRUCTION i ~ ElECTRlfAL 1$ I AMP SERVICE ~ PROGRESS ENERGY D W.R.E.C. t-:x::>c. _ ~ PLUMB! 1$ I ~a.-\t- _ ~ MECHA CAl 1$ I VALUATION OF MECHANICAL INSTALLATION e ,~C\ _ Su.b ~ ! ~'\t5' \ (' Q' cs o GAS Jtj ROOFING D SPECIALTY D OTHER FINISHED FLOOR ,LEVATIONS I I FLOOD ZONE AREA DYES ~NO Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Fadlities & 1 dumpster Attach (3) sets of Building Plans; (1) set of Energy Fonns. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans. Sanitary Fadlities & 1 dumpster All commercial requirements must meet compliance. Attach (2) sets of Engineered Plans. I--PROPERTY SURVEY required for all NEW construction. I BUilDER SIGNATURE Address ELECTRICIAN SIGNATURE Address PLUMBER SIGNATURE Address MECHANICAL SIGNATURE Address OTHER SIGNATURE Address RESIDENTIAL COMMERCIAL SIGN PERMIT ~ .!l.1"'l a t"\ LoA S' f. , T -1 C r Y / N I FEE CURR~NT I Y / N license , I I I I I I I I I I I Y/N FEE CURRENT Y/N license' 4~~~, i.,U:\\:a...., J FEE CURRENT I license' I Y/N So ~ ~l-er 1'\ Lo""" to/' of I Y/ N I FEECURRENT I Y/N license' I L (Lv /'l'\ 4 t'\ f2 () 0 J: ," !:L r Y / N I FEE CURRENt Y / N license , I Directions: Fill out applicati n completely. Owner & Contra or sign back of application, notarized If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) Agent ffor the ntractor) 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) Reroof1; Sewers Service Upgrades AlC Driveways-Not ver Counter if on public roadways..needs ROW Fences (PlotlSurveylFootage)