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813-780-0020 City of Zephyrhills Permit Application Building Department t-aX-tlM-/tlU-UU;!l DatB Received Owner Phone Number Owner Phone Number I Owner Phone Number I OWner's Name JOB ADDRESS Owner's Address Fee Simple Titleholder Namel k, ~ I<~ ~ Fee Simple Titleholder Address I I S-f-r '-( I ~ 51 ~ sr 2 ~I'" 'r" J.., ({ s I PARCEL ID#I B D o k '$ sS- y "2- lOTN WORK PROPOSED ~ D W- NEW CONSTR INSTALL SFR BLOCK ADD/ALT REPAIR COMM // _ ;). ~ ;?- (- DO l 0 - 0"2 s-c.c Cf2- CJ"-' (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE 0 DEMOLISH SUBDIVISION PROPOSED USE TYPE OF CONSTRUCTION FRAME o D o OTHER I r-=: ll1..J#\"AI I ~~ ( -:J STEEL D OTHER I P -1vV c.1/... I I DESCRIPTION OF WORK I- \,.-c. V'-t, ~ , J"", . (/....... __I. ~ tyl--&) iI, ~ . ~ l~ ~ tJ .~"t P '" ( ( :> ~ BUILDING SIZE I I ~ "7 ISQ FOOTAGE I 3 ~6 0 -t- I HEIGHT I Z 0 PI: I I . I I I . . I I ~ I t 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 . . D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY . Nee ./ D PLUMBING 1$ I F-l ~V'l - ( , I. D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION D GAS 0 ROOFING 0 SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNo 11111'f",II..IIII.I.",IIIIIII,..".,I..IIIIIIIIIIII'"111"1.""'1111111111111"'..."'111"...11111'1111,i","""""""IIIII'I"""'I""1 D W.R.E.C. BUILDER SIGNATURE JVL~~ COMPANY REGISTERED L1censB # Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/ N FEE CURRENT Y/N Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address OTHER SIGNATURE COMPANY REGISTERED Y/N Address License # i II i i 11111 i i III 1111111 i II , , 1111111111111111111111111111111 i i III i i i Iii i III i i i 1111111111 , 1111 ii' 11111111111111111111111111111 i 11111111111111111111 i RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for nBW construction, Minimum ten (10) working days after submittal date. RequirBd onsite, Construction Plans, StDrmwater Plans w/ Silt Fence Installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projBCtS COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W PBrmlt for new construction. Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans w/ Silt FencB Installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projBCtS. All commBrcial requirements must meBt compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for ail NEW construction. II)III! 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 111111111111 1111111111111111111I111111111111111 Directions: Fill out application complBtely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (Ale 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 SBwers Service Upgrades AlC Fences (Plot/Survey/Footage) Driveways-Not over Counter If on public roadways..needs ROW