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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner's Address /' Fee Simple Titleholder Namel Owner Phone Number Owner Phone Number I Owner Phone Number I / Owner's Name /JOB ADDRESS Fee Simple Titleholder Address I I tit{ f 9 I JllEt! I n NEW CONSTR E3 ADD/ALT D D INSTALL REPAIR PROPOSED USE D SFR D COMM D TYPE OF CONSTRUCTION D BLOCK D FRAME D /DESCRIPTIONOFWORK I LJrJO/)ttl 1JCCk (}t/6R f;RlJf.J .f)Rlffl I SQFOOTA'I 5J t/ I TTII'III'I'IIITnllllllll'I"IIIIIIII'IIII"""'I"111111111'111'111111111'1'111111111"'111111111'1111111111111'111111111111111111111111111111'1 1$ ? b g- b t I 1$ I 1$ I 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111II111111111111111111111111111111111 BUILDER " COMPANY /1 SIGNATURE REGISTERED Iflh LOT # SUBDIVISION PARCELlD#1 '4--~Co - dl ~ O()l(:)- (:JQ::')CC). 0030 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D WORK PROPOSED DEMOLISH OTHER I STEEL D OTHER I BUILDING SIZE HEIGHT D BUILDING D ELECTRICAL D PLUMBING D MECHANICAL VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D t-bc - ~J A- W.R.E.C, VALUATION OF MECHANICAL INSTALLATION Address ELECTRICIAN I SIGNATURE . Address I f~ ~ f f FEE CURRENT License # I Y/N COMPANY REGISTERED Y/N FEE CURRENT License # YI N FEE CURRENT License # Y/N FEE CURRENT License # Y / N FEE CURRENT Y/N COMPANY REGISTERED PLUMBER SIGNATURE Y/N Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address OTHER SIGNATURE COMPANY REGISTERED Y/N Address License # 1II1II11111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111I1111111111111I111111111111111111I11 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 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 on site, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanilary 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~~~': . . 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 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