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813-780-0020 City of Zephyrhills Permit Application Building Department F.X-.'3-7.0-o0~ (,Elo Lf Date Received ~ Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name Owner's Address Fee Simple Titleholder Namel Fee Simple Titleholder Address JOB ADDRESS 33';).50 If~ f}ve. LOT # WORK PROPOSED NEW CONSTR INSTALL SFR BLOCK I B D D t.J+R.. G~ PARCEL/D#I J'-(- '2.ft-2(- 0010-01300-0010 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D SUBDIVISION PROPOSED USE TYPE OF CONSTRUCTION ADD/All REPAIR COMM FRAME D D D :l?..O I' DEMOLISH OTHER I STEEL D OTHER I DESCRIPTION OF WORK BUILDING SIZE SQ FOOTAGE I HEIGHT I D . 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 . . . . . . . . 1$ I 1$ I 1$ /, 000. ~ I 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO IIII1111 J I J I1I11III11I1 J Jill J 1I1III J J 111111 J J II111 J I J I1I11I11I11 J I1II1I J J J 11I111 J 1111111I J 1II11 J J I" I11111II1I11II1 J II J I J I J I111111111I11 J 11I111 J II BUILDING VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL AMP SERVICE D PROGRESS ENERGY D W.R.E.C ~ PLUMBING D MECHANICAL VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE Address ELECTRICIAN SIGNATURE Address Address PLUMBER SIGNATURE MECHANICAL SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # OTHER SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N Address License # II J 11I11II J III11I1II1 J 11I1IIIII1 J II111I1 J J J 111111I J 1111II1111 J J I1I111 J J J 111II11 i I J III1I1I J I11I11I J I11I1I111111II11I1111 J J I J IIII J " 11II J I " II " I J II RESIDENTIA.L 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, Sanitary Facilities & 1 dumpster COMMERCIAL 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. SIGN PERMIT Attach (2) sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. 1111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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)