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813-780-0020 City of Zephyrhills Permit Applic9tion Building Department ~ ~ \ Date Received I I I Me d f'e q I LeV{ kv tA-V( I LOT# I I I PARCELlD#1 ,~<)- 2...,)- 2/-0{J7a -OO()oo-Do'll I (OBTAINED FROM PROPERTY TAX NOTICE) o NEW CONSTR E3 ADD/ALT 0 SIGN D MOVE 0 D INSTALL REPAIR PROPOSED USE 0 SFR D COMM 0 TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 DESCRIPTION OF WORK I (2-004- ol,J(y" vJ( "" \' ro BUILDING SIZE I SQ FOOTAGE I (S-O L.) I HEIGHT I "1'111111111111111111111111111111111"11"'111'11111'111"1111111111111111111111111111111111111111111111'11""1111111111111'11111111111111111111 Owner's Address Fee Simple Titleholder Namel (I OC'1111 F/ Owner Phone Number Owner Phone Number I Owner Phone Number L Owner's Name JOB ADDRESS Fee Simple Titleholder Address I 13 ~ l{go I SUBDIVISION WORK PROPOSED DEMOLISH OTHER STEEL I D OTHER I \ w~,~ 1flA.\:,\,c...V 1$ 5 ~oo. 00 I D ELECTRICAL 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I o GAS D ROOFING D SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII1111I1111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111 D BUILDING VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D WRE.C, VALUATION OF MECHANICAL INSTALLATION JJo~/ Y / N FEE CURRENT License # Y / N FEE CURRENT License # Y/N FEE CURRENT License # Y/ N FEE CURRENT Y/N I I I I I I I I I I BUILDER SIGNATURE COMPANY REGISTERED Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address License # I OTHER qa ,(")0 1~2()tfQt'ick0-t~v, ~t1~~' SIGNATURE I Y / N I FEE CURRENT Y.(N I Address ~., IJJth 'FI 3) 7f.:, License # Ice CO 0 79 s- 7 111111111111111111111111111111111111111111111111111111II11111111111111I11111111111I1111111111I11111111111111111I1111111111111111111111111111111111 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 w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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/ Silt 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~~~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 . . . . . . . . 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