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813-7fiO-0020 City of Zephyrhills Permit Application Building Department t-aX-tllj-ftlU-UU,o!: I DC\te Recel~ed I - 2lf -61 Owner"s Name ri StJr Cv CAr 0 J Owner.s Address I ~~".. b J. 11', Fee Simple Titleholder Namel Owner Phone Number Owner Phone Number [ Owner Phone Number I Fee Simple Titleholder Address I '3 ~LD\ LI. [ ;;) n& A \jQ- ' JOB ADDRESS PARCEL ID#I I 1/_ 2JJ - '2/- O~I (} ---1.0'00 - VOl tJ (OBTAINED FROM PROPERTY TAX NOnCE) SIGN D MOVE 0 LOT# I PROPOSED USE TYPE OF CONSTRUCTION E1 o o NEW CONSTR INSTALL SFR BLOCK I ~ CJ CJ ADO/AL T REPAIR COMM FRAME o D D DEMOLISH S"lJBDIVISION WORK PROPOSED OTHER I" h> \V"\ ~ '. N:~ STEEL 0 OTHER I o o rn DESCRIPTION OF WORK BUILDING SIZE I I sa FOOTAGE I I HEIGHT I I I111111111111111111111111111111111111 . 111111111111111111111111111111111111111111111 . II ; 1111 . I r 11111 . 11111111111 , 1II1 . 111111 , 1111111111111111 , 11111 1$ I 1$ I 1$ 31515.CC I o MECHANICAL 1$ I o GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111111111111111111111111111111111111111111 ! 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 =~RE I =.::.':: I Y I N FEE.......... Y I N I I I I I () skJJ..9. ~,~ \- I, ) \ 0 CS c ~ v..,,~ 'f * ~G i-<!.. BUILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL AMP SERVICE D PROGRESS ENERGY o W.R.E.C. PLUMBING VALUATION OF MECHANICAL INSTALLATION }JD( -- Address ELECTRICIAN I SIGNATURE License # COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # PLUMBER SIGNATURE FEE CURRENT Address License # COMPANY REGISTERED MECHANICAL SIGNATURE Y/N FEE CURRENT Y/N Address License # COMPANY REGISTERED OTHER SIGNATURE Y/N FEE CURRENT Y/N Address 111111111111111 RESIDENTIAL License # 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 onsite, Construction Plans, Stormwater Plans w/ Silt Fence Installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivlsionsllarge projects 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 onsite, 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 Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. COMMERCIAL SIGN PERMIT DI~~~ii~~~': . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .. . . . . . . . .. . . . . . . . . . . . . .. . .. . . . . .. . . . . . . . . . .. . . . . . . . . . . .. . . . . .. . . . 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 Ale Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW