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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Fee Simple Titleholder Name Sl'Imi.. IJ-S ~/3 1 rr - fS"O ?> (!/~) 7~lf-3~9J' ~I I I ~1J'IrlJ;/!J ,/F'-. '9?5V'L I LOT# I ~.'/ I PARCEL 10#1 ~ a -~"... ~ / - () /9 t) - ~~ ...oal~b (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D Owner Phone Number ~er Phone Number I Owner Phone Number I Owner's Address Fee Simple Titleholder Address I .s /tin -l. I1s I l;/9:J? /9~ ,S.::f-raf- 17lfhy,..hi/ls I;rllzL I n NEW CONSTR I'7f [k3- INSTALL D PROPOSED USE D SFR D TYPE OF CONSTRUCTION D BLOCK D DESCRIPTION OF WORK 1.::r1l51.4iL ,c~Ut!tE I "'AIL! ~rl SQ feOl'AGE OTHER 1131J~ 'Pr..- -;j.--UJI'-' ... STEEL D OTHER I JOB ADDRESS SUBDIVISION BUILDING SIZE I 11111'11111111111'1111'1111111111'1111"11111""11111rlllll)II'IIIII'.'III"'III""I"IIII-IIII))I"""111""111111111111"111"'11111'1111111 D m D ?r?t n l.. IB() ~ /1f1 I ADD/ALT REPAIR COMM FRAME DEMOLISH WORK PROPOSED HEIGHT 70" 1$ 1./711;' IL I D ELECTRICAL 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNa 11111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111 ::::~~~RE I~ ~~~ I ;.c::."= I 7- '/ttl,j,ill5 02f BUILDING VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION I I I I I I I I I License # I I 111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111I11111111111111111 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, II,IIII!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111 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 #- II?1..t... I1u-rt.f/J I Y / N I FEE CURRENT Y/N Address -c st-/llf . ~Y'Z- License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N Address License # MECHANICAL SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # OTHER SIGNATURE COMPANY REGISTERED Y I N FEE CURRENT Y/N Address 111111111111111 RESIDENTIAL COMMERCIAL SIGN PERMIT Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW