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81~1-780-0020 City of Zephyrhills Permit Application Building Department '7 !:51 -ll1ZiJ r-ax-cn,j-/ou-UU': I Date Received 111111111111 ~~'VSf> \I-\L\ O(p a OrW.-tu LOGOc( Owner's Address ~z...S-I~q.." ,'ZcfJnyrtHlu', K..., Fee Simple 'Titleholder Namel ~4Z- Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name JOB ADDRESS Fee Simple 'Titleholder Address I 11<62 tS I WORK PROPOSED I D NEWCONSTR r==J ADD/ALT D D INSTALL D REPAIR PROPOSED USE D SFR D COMM D OTHER I TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D DESCRIPTION OF WORK I ~l> I'" \ t...Jy-. ()f;. CIc:.c;p +- a. Bo...--\-tv\CR'~ BUILDING SIZE I ISQ FOOTAGE I I 51 ~} I~ I HEIGHT , 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 . r , . . . . I . I . . . . . . I . . , , . . . . . , . . I I I , . I . . I I , . . I t I I I . . , , , I I . I \ (-t'h s\ LOT# I SUBDIVISION PARCEL ID#I \4-2(';'-2.1-6bIO- 02.ID6- OOCOO (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH OTHER I 0 BUILDING 1$ ~d. ,~~9. c'D I VALUATION OF TOTAL CONSTRUCTION' I ~i 2,..g-g. .)'" 0 ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C, r^tJ-~,~' D PLUMBING 1$ I D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION ~;6D ~O(,~ D GAS D ROOFING D SPECIAL TV D OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES DNO Address COMPANY REGISTERED 1~~f~!~~~O" License # IthlJ5C1 ~ IT I IbL~tJU !;F E/cv/d Ie i1x:. 1 ~ I FEE CURRENT I r.::!L N I License # I 2'/'>..5' ~flr~~~ (j)N License # 10'--00 2~ "".~ / BUILDER SIGNATURE: ELECTRICIAN SIGNATURE 33Sto I PLUMBER SIGNATURE: Address Address License # MECHANICAL SIGNATURE: OTHER SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N Address License # 111111111111111111111111111111111111111111111111111 I 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans w/ Silt Fence Installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTV SURVEY required for all NEW construction. 11.11111111111111111111111111111111111111111111111111111111111111111I11111111I111111111111I1111111111111111111111111111II1111111I11I11111111111111I Directions: Fill out application completely. Owner 8, Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A1C upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from ollilner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Fences (PloVSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW