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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name Owner's Address Fee Simple Titleholder Namel JOB ADDRESS Fee Simple Titleholder Address I ISL\ 5 ~ It 'f1-, I ~+ ~ LOT # WORK PROPOSED I D NEW CONSTR r=J D INSTALL D PROPOSED USE D SFR D TYPE OF CONSTRUCTION D BLOCK D DESCRIPTION OF WORK I \Z..t ~ \ ~ Q b C::t r e:r EJ t D 0'0' r BUILDING SIZE sa FOOTAGE I I HEIGHT 111111111'111111111111111111111111111111111111111111111111111111111111111111111111111111111111"'."1"'1'1''1"'111111111111111111'1111"11111111 PARCELlD#1 ADD/ALT REPAIR COMM FRAME l\-alo-~\-60\6.1:~'700-007() (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH SUBDIVISION D D D OTHER I kf1cru 6CfrOrfj~ STEEL D OTHER I D ~CY~ 1$ I i3dS .00 D ELECTRICAL 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES CJNO 11111111I1111111I111111I111111111111I1111I111111I111111111111111111111111I11111I111111111111111111111111111111111111111111111111111111111111111111 D BUILDING VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY c===J VV.R.E.C, No\- ~1.5-\o0c- / VALUATION OF MECHANICAL INSTALLATION CUf'rt~ - L01e. G/I- a-b .00 BUILDER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/ N FEE CURRENT License # Y/N Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address tcP~' I 'K7Y I T,.tv.s te;). Hvo-!s<>r7 t"L 3C({.d 7 License # I (; DI -0'11 ~;> I 1111111111111111111111111111I11111111111111111111111111111I1111111111111111II11111111111111111111111111111111111111111111111111 ill 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 w/ 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 onsile, 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. h~;\~ OTHER SIGNATURE COMPANY REGISTERED ff\?~tc:?--tor\ GO(rcc~""t' D (/C/y I Y / N I FEE CURRENT Y / N I Address 111111111111111 RESIDENTIAL COMMERCIAL SIGN PERMIT DI~~~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. (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 (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW