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8'13-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 LPvf'jd~c~'f-s I ~ NEW CONSTR c=J ADD/AL T 0 U INSTALL CJ REPAIR PROPOSED USE 0 SFR D COMM 0 TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 DESCRIPTION OF WORK I'~ ~ t d.. d/.A.. + fJ \ d... u..vJ-- l D fe BUILDING SIZE I SQ FOOTAGE I r1:J'5~ I HEIGHT I 111111111111111111111111111'111111111111111111111111111111111111111"11111'11'111111111111111111111"'1111"""111111111111"1'111""'1"'111111 0' BUILDING d' ELECTRICAL 1$ 1-1000 ~ 00 I 1$ 1/ e; ttJe> 061 I 1$ I 1$ I D GAS 0 ROOFING D SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 111111111I1I1111111111I1111I1111111111111111111I11111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111 BUILDER I. J.~. 71 ~ /7 /}. 1 SIGNATURE , _~ ~ , Fi- Date Received Owner's Name --.Ja..Sh i.. "'&l.....et. -rhc:Jc...v.d- Y Owner's Address I Lf-oLtZ-/ c..-hts-c.er Fee Simple Titleholder Namel .J t:t.~ h ~ Y2o{ I ....-n .t:ll::...a.--ct.r I JOB ADDRESS SUBDIVISION PARCEL 10#1 WORK PROPOSED Owner Phone Number Owner Phone Number I LOT # (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE 0 DEMOLISH OTHER I " ~\J..s.p....4. J STEEL D OTHER I AMP SERVICE VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY D D PLUMBING D D W.R.E.C. MECHANICAL VALUATION OF MECHANICAL INSTALLATION r Address MECHANICAL 1 SIGNATURE Address I OTHER I SIGNATURE Address I License # 11I11111111111111111111111111111I11111111111111111I111111111111111111111111I111111111111111111111111111111111111I111111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) 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 wI Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large 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. COMPANY REGISTERED ELECTRICIA SIGNATURE PLUMBER SIGNATURE !~Q~ ~P'K'I 0~ COMPANY REGISTERED I~OMPANY REGISTERED I COMPANY REGISTERED COMMERCIAL SIGN PERMIT License # Y I N FEE CURRENT License # Y I N FEE CURRENT License # Y I N FEE CURRENT License # Y/N FEE CURRENT Y/N Y/N Y/N Y/N Di~~~ti~~~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. (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 (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW