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. 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received OWner's Name OWner's Address Fee Simple Titleholder Name OWner Phone Number Owner Phone Number 1 Fee Simple Titleholder Address I I 5tVtYLtJ ~r ~e,I\.li-W1 D NEW CONSTR E3 D INSTALL PROPOSED USE D SFR 0 TYPE OF CONSTRUCTION D BLOCK 0 DESCRIPTION OF WORK I I PARCEL ID#I 0.3.- ~h - ~ - 0 130 - fXXJOO - 0'700 (OBTAINED FROM PROPERTY TAX NOTICE) D SIGN D MOVE D cs6 OTHER cd1j 0 tit A! 0 ufl it D STEEL D OTHER I JOB ADDRESS SIJBDIVISION ADD/ALT REPAIR COMM FRAME WORK PROPOSED LOT# 11D DEMOLISH BUILDING SIZE I I SQ FOOTAGE I HEIGHT I 1111111111111111111111'1111"11111111'11"1111"1'111111'11'lltlll"III..IIIIII'IIIIIIIIIIIIIIIIIIIIIIIlllll11111111'111111"111"'11111,111111111 1$ I 1$ I 1$ I 1$ dtJtf 5.00 1 D GAS D ROOFING 0 SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111111111111111111111111111111111111111111 ! 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 D D D ~ ELECTRICAL AMP SERVICE VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY BUILDING PLUMBING o D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION MECHANICAL BUILDER SIGNATURE COMPANY REGISTERED Address ELECTRICIAN I SIGNATURE Address I PLUMBER I SIGNATURE Address I COMPANY REGISTERED COMPANY REGISTERED MECHANICAL SIGNATURE Address OTHER SIGNATURE COMPANY REGISTERED Y/N Y/N FEE CURRENT License # Y/N Y/N FEE CURRENT License # Y/N Y/N FEE CURRENT License # I ~is J A/6 CJ)~tU1U 1 I ~/ N 'FEECURRENT Y/W I License # I ~ACO Sg 5 rr f) Y/N Y/N FEE CURRENT Address License # 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 subdivislonsllarge 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 onsite, Construction Plans, Stormwater Plans w/ Slit 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. "**PROPERTY SURVEY required for all NEW construction. DI~~~ti~~~': . . . . .. . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . , . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . .. . .. . . . . . . . . . .. . . . . . . . . . . .. . .. . . . . .. . . . 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 AlC Fences (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW