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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 L Owner Phone Number I __ Owner's Name --Owner's Address Fee Simple Titleholder Namel --JOB ADDRESS Fee Simple Titleholder Address I 152-'1/ I I B D o ~ LOT # I PARCELlD#Lll...l~-U -00(0 ,../32-ov -OOfj() (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE 0 lo+h 5:.1- SUBDIVISION _ WORK PROPOSED @ PROPOSED USE CZJ SFR 4e TYPE OF CONSTRUCTION c=J BLOCK _DESCRIPTION OF WORK ~ _ BUILDING SIZE I 8 1)( , 0 I I I sa FOOTAGE I I HEIGHT I I TTfTTTTT1 , I , , I , I I ' I II I I II ' I , II I I I I , I II I I ' I I , . I , I II I I I I I I ' , II I ' I ' I ' I I , I I , I I . I I , I , I I ' I I I ; II 1 I I ' 1 , I I , I I , I I I I ' , 11I1 , I 1 I I I I , I I ' I I ' I III , It' I , II ' II ' I ' I I I NEW CONSTR INSTALL ADD/All REPAIR COMM FRAME c=J c=J c=J DEMOLISH OTHER STEEL I o OTHER I -- 0 BUILDING 1$ / / 30: J 7 D ELECTRICAL 1$ D PLUMBING 1$ o MECHANICAL 1$ D GAS c=J ROOFING D SPECIALTY c=J OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES CJNO 111111111111111111111111111111111111111111111111111111111111 'J 111111: I 0 11111111111111111111111111111111111111111111111111111111111111111111111111 _ BUILDER i Lr>1 - E R ~ ~ COMPANY I I SIGNATURE . / / (~~ ~ REGISTERED Y / N FEE CURRENT I Y / N I Address License # I I I I I I I I I VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION c~ltI~.dV COMPANY REGISTERED ELECTRICIAN SIGNATURE Y / N FEE CURRENT Y/N License # Address COMPANY REGISTERED PLUMBER SIGNATURE Y/N FEE CURRENT Y/N Address MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE Address I License # I1111111111111111111I111I1111111111I1111111111111111111111I111111111111111111111111111111111111I1111111111111111111111111111111111111111I111111111 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 onslte, 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 onslte, 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. License # COMPANY REGISTERED Y / N FEE ClIRRENT Y/N License # COMPANY REGISTERED Y/N FEE CURRENT Y/N COMMERCIAL SIGN PERMIT ,.......111..11111..........11..111.1111...11..............1111..111..........................11111....1111111......11.111....111,.....,11........ Directions: 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 A/C Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW