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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Phone Contact for Permittin Owner Phone Number 31 e':9~). ~ Owner Phone Number I Owner Phone Number I Owner's Name ). Owner's Address 1,/t9c:!J3 Fee Simple Titleholder Namel Fee Simple Titleholder Address I 6t ~ LO" I PARCEL ID# I v11-~:.2/ -:<J-d')d- -/~<ldL!J -L':i:JJ.lD . (OBTAINED FROM PROPERTY TAX NOTICE) D NEW CONSTR E3 ADD/AL T D SIGN 0 MOVE D D INSTALL REPAIR PROPOSED USE D SFR D COMM D OTHER I TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL 0 OTHER I DESCRIPTION OF WORK J 4 ~,..'<.C ~ ~ W/'xr-l-". ~ P w.>)-d-A--crr... BUILDING SIZE I __ SQ FOOTAGE I I HEIGHT I 111'1111111'" 11111111111111'" jlllllllllll' III'" 111111111111111' 11111111111' 1'1111111 r 111111' 111'1111111111111111' 1111111" 11111111111' '11111111 ~ JOB ADDRESS ivs clLJ .? 2;,~ H ~ SUBDIVISION WORK PROPOSED DEMOLISH 1$ '7~R -- 1 1$ I 1$ I 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I 1 FLOOD ZONE AREA DYES DNO 111,1111111111,: 11"""111"""'1111"""""'11"""''7''1'''' ~2: 'f\:\'IIII: II ~ '':: 111111111111111111111111111111111111111111111111 BUILDER ~ ~ 1. COMPANY ~tn-1U. ~-.d J I SIGNATURE . -'- _ ,~.~_ ~~ R'G'S"R'" Y N I ","0"""'"'- Y/N Address _ I License # I I I I I I I I I I BUILDING VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D WR.E.C. D ELECTRICAL D PLUMBING D MECHANICAL VALUATION OF MECHANICAL INSTALLATION ELECTRICIAN SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N Address License # MECHANICAL SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N Address License # OTHER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address 111111111""" RESIDENTIAL License # 11111111111111111111111111111111111'1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 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 Attach (2) sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. COMMERCIAL SIGN PERMIT i:ii~~~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 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