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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner's Name Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Owner Phone Number I Owner's Address Fee Simple Titleholder Address I I S~ I ~WDOtL I D NEW CONSTR ~ D INSTALL Eef PROPOSED USE 0 SFR 0 TYPE OF CONSTRUCTION 0 BLOCK 0 DESCRIPTION OF WORK I AI c ~-# ~ BUILDING SIZE I I SQ<;.60TAGE I HEIGHT I 11111111111111111'11111111111'11111'111111111111111111IIIIIIITII"'IIIIIIIIIIIIIII'IIIIIIIIIIIIIIIIIIIIIIIII11111111111111111111'1111111111'1'1111 1$ I 1$ I 1$ I Qt800.00 I D GAS 0 ROOFING D SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111111111111111111111111111111111111111111 ! 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 ADD/ALT REPAIR COMM FRAME I PARCELlD#1 r 0 -:J./p - ~ l- D I ~ 0 - 00000 - 00 #) (OBTAINED FROM PROPERTY TAX NOTICE) o SIGN 0 MOVE 0 o o LOT# I JOB ADDRESS SUBDIVISION WORK PROPOSED DEMOLISH OTHER I STEEL 0 OTHER I D D D oz{ BUILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL AMP SERVICE D PROGRESS ENERGY D W.R.E.C, PLUMBING MECHANICAL VALUATION OF MECHANICAL INSTALLATION I I I I I I I I I I BUILDER SIGNATURE COMPANY REGISTERED YI N FEE CURRENT Y/N Address License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED YI N FEE CURRENT Y/N ~ ~ COMPANY REGISTERED License # I rP1,Yls I A/~ COWt1J(1j(\;V I ,'~ I N I FEE CURRE~. - r I Y I t-I I License # I C,AC() 5 g 5'7 b COMMERCIAL Address MECHANICAL ! SIGNATURE . Address OTHER I SIGNATURE Address I License # 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-W Permit for new conslruction, Minimum ten (10) working days after submittal date. Required onsite, Conslruction Plans, Stormwater Plans wI Slit 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 conslruction. 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 all new projects. All commercial requirements must meet compliance Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW conslruction. COMPANY REGISTERED Y/N FEE CURRENT Y/N SIGN PERMIT DI~~~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 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