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B 13: 7BO-002G City of Zephyrhills Permit Application Building Department r-aX-tn,j-IOU-UU':1 ~ (oSl>9 ~ Date Received Z-- (4 Ob L I l.Lt Owner's Address ~. (aW\L\ ba..L\L ~ Fee Simple Titleholder Namel Owner's Name SLott ~-.5~ I JOB ADDRESS Owner Phone Number Owner Phone Number I Owner Phone Number I I I I '\\.~ LOT# I <g8 I ZLf -llo -21 -0030 '00000 '-6~~O I (OBTAINED FROM PROPERTY TAX NOTICE) D SIGN D MOVE D D D Fee Simple Titleholder Address D. NEW CONSTR E3 [2t INSTALL PROPOSED USE D SFR D TYPE OF CONSTRUCTION D BLOCK D DESCRIPTION OF WORK I set -lAP P Of 'f- W1 0 d. t t I/~ }. 2> <2 I .SQ FOOTAGE I '-I to '-( -rn.,..,.-rrTlI1 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 1'1 I I 1.1 I I I I I I" 1.1 1.1 I I I I I I I I I I II 'I II I I I I I.... I 1.1 1'1' II ~ 1'1" I I" I 1'1' I 1.1 1.1 I I I I II I I I I I I I I I I I I I 1$ /5000, Il() I 1$ Lj OD.v (' I 1$ 250, o~ I D MECHANICAL 1$ ;00. ad I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I 1 FLOOD ZONE AREA DYES DNO ~IIIIIIIIII"I"IIIIIII'I'I'I"III'I'I'II"""I'IIII'1llllllIIIIIIII'IIIII'I'lllllllllllllllllllllllllillll"1'11'11111111111111111111111111 SUBDIVISION WORK PROPOSED ADD/ALT REPAIR COMM FRAME DEMOLISH OTHER fPo....l WIer! p ( STEEL D OTHER I BUILDING SIZE D BUILDING HEIGHT I ELECTRICAL AMP SERVICE VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY D D PLUMBING D D W,R.E.C. VALUATION OF MECHANICAL INSTALLATiON BUILDER SIGNATURE +-kfh L ~~~;;~~~N~~ Address ~ :~::r~~E i~ I I Address COMPANY REGISTERED COMPANY REGISTERED Address MECHANICA~.~~ SIGNATURE . c:.----r-~-- ~ Address __ OTHER I SIGNATURE Address I COMPANY REGISTERED COMPANY REGISTERED I Cf~w {FEE CURRENT License # I I~-~dd / N FEE CURRENT License # I I I I I (SiP I~N R. License # Y / N FEE CURRENT Y/N License # 1111I1111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111II1I111111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; RcO-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onslte, Construcllon Plans, Stormwater Plans w/ Silt Fence Instailed, Sanitary Facililles & 1 dumpster; Site Work Permit for subdivisions/large projecls 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 submiUaldate. Required onslle, Construction Plans, StormwaterPlans w/ Silt Fence Installed, Sanitary Facilities & 1 dumpster. Site Work Permit for ail new projecls. All commercial requirements must meet compilance SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTy SURVEY required for ail NEW construction""...,:. 111111111111111111111111111111111111111111111111111111111111111111 i 111111111111111111111111 i 111111111111111111111 i " i 1111'1' i 1111 i 11IIII " I i 1II1II11 Directions: . ...;" .. Fill out application completely. Owner & Contraclor 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 Fences (Plot/Survey/Footage) Driveways-Not over Counter If on public roadways..needs ROW