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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Is I) elL II OWner Phone Number l1. fY\ ~ O>li~r Phone Number Owner Phone Number I I LA.) t' 1 \C ( AI'> I Fee Simple Titleholder Address I, I) (p -3 q Jo ~ .Z-Il II? 335' 'f ~ I ( J) ((J:S 9 df)VJst-, 2- t-/.' 115 3,3.5 7' ~ I LOT{J.I ~,,7 I I C/~-.Q-f 1-~ PARCELlD#1 II d& :J I 00/0 II {JOO CD0 J ~ (OBTAINED FROM PROPERTY TAX NOnCE) E1 NEW CONSTR ADD/AL T D SIGN D MOVE D DEMOLISH INSTALL REPAIR PROPOSED USE D SFR D COMM D TYPE OF CONSTRUCTION 0 BLOCK D FRAME ~ :! I'S \ I){J'" I sa FOOTAGE I d}!P III1III11III1111111111111111111111111111111111111111 . , . , . III1I11II1I1II11111111 J I , r , III11II1IIIII , . I , I r 1111111111111111 r , r , , , 111111 r I r r II1II r , III , D BUILDING 1$ >? (;(). 00 I VALUATION OF TOTAL CONSTRUCTION~"f\..t "", D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENbRGY D 1$ I 1$ I D GAS D ROOFING D FINISHED FLOOR ELEVATIONS I I /- / h - 01 Owner's Name --- fW\.JL-\- vJ; \ lei ^$ Owner's Address 1,- '5 (p <.3 l' ~ yJt Fee Simple Titleholder Namel J An ~ JOB ADDRESS SUBDIVISION WORK PROPOSED DESCRIPTION OF WORK BUILDING SIZE W.R.E.C, D PLUMBING D MECHANICAL VALUATION OF MECHANICAL INSTALLATION SPECIALTY D OTHER FLOOD ZONE AREA DYES DNO Address ~ OUJ/lfLJu FEE CURRENT 0 IN License # I BUILDER SIGNATURE ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y I N FEE CURRENT Y/N Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address COMPANY REGISTERED MECHANICAL SIGNATURE Y/N Address OTHER SIGNATURE COMPANY REGISTERED Y/N Address 111111111111111 RESIDENTIAL License # 1111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-O-W Penn it for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater Plans wi Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Penn it for subdivisions/large projects Attach (3) sets of Building Plans; (1) set of Energy Fonns. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater Plans wi Silt Fence Installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. COMMERCIAL SIGN PERMIT i:il~~~ii~~~': 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 I . I . I . I . I I . I I . I Fill out application completely. 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 Sewers Service Upgrades AlC Fences (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW