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I I 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received y - S... 0-1 Owner Phone Number 8Cs- Owner Phone Number I Owner Phone Number I Owner's Name ''20 -\bNL,,~ 00 \. l)~-y LC\..J ?\'\'-<...,C\ L l L owner'~ Address I /.) 0'1 () v Q 0 C (1 (). L \../\ L r4 - Fee Simple Titleholder Namel .- I Fee Simple TitleholkJer Address I JOB ADDRESS I qt15 \. I toT1 <';:, LOT # SUBDIVISION PARCEL ID#I NEW CONSTR INSTALL SFR BLOCK I B o o (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED SIGN D MOVE D DEMOLISH B PROPOSED USE D TYPE OF CONSTRI!.tCTlON D DESCRIPTION OF WORK I'?-o~~ ',\...U<'\\>::.tNC"7. Q.~~ K.L.n...t...\.JZ..<... ~-r":_ ~i...-A~ , BUILDING SIZE ! I Y3> .,L.)5 I SQ FOOTAGE II S 0 () HEIGHT I \ I I I I II I I . II I II II I I I I ~ I I II I 111 I I . I I I I II I 1111 I I I II I I I II I I I , , . I I II I I , , , I II II I I I I I , , , I I I II I , I III III , I , I IIIII I I I I I , r I . I I I I I I II11 I I IIIIII I II I I I III I , I III I 1$ t) ,~l) 6 ..- 1$ 1$ 1$ D FINISHED FLOOR eLEVATIONS I ~:::~~RE L) C-( 1:" L Address 15~)~) -OOo...U-L iL'J L ,T\''\... ('-- 3$~ "'<'\ ELECTRICIAN I q..sIGNA TURE . Address I : ~~::'~~E ~ Address I / t? '2- I ~ C)q k lot Ot f A(/~ ~,~~~~:L I ~b r'10-<.~1\ rll~ ,.\6-,;,1)q Address I : OTHER [ SIGNATURE Address C License # 11111111111I1I11I11I1111111111I1111111I11I1I11111111111111111I1111I111111111111111111111111111111111111111111111111111111111111111111111111111I111 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 on site. Construction Plans, Stormwater Plans w/ Silt Fence installed, i 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. 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 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 Directions: Fill out applicati!m completely. Owner & contrictor sign back of application, notarized If over $2500, Notice of Commencement is required. (AlC upgrades over $5000) .. Agent (for the c ntractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNT1R PERMITTING (Front of Application Only) Reroofs , Sewers Service Upgrades AlC ADD/AL T REPAIR COMM FRAME D C$J D OTHER I~LAG STEEL D OTHER I D BUILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL "-\ ! OD . .......- AMP SERVICE i- 0() o PROGRESS ENERGY D W.R.E.C.~ . L.~/: ~lP~ L1, lh r- Y:"~~ J C~O~V o D o PLUMBING 2 ~ :J...) - , ., MECHANICAL VALUATION OF MECHANICAL INSTALLATION - o GAS ROOFING o I SPECIALTY D FLOOD ZONE AREA OTHER DYES [51NO COMPANY REGISTERED License # COMPANY REGISTERED Y I N FEE CURRENT Y/N License # COMPANY REGISTERED ~q ( fI4W\b/V1~ _ N I FEE CURRE License # I C Fe.. Il{.z.. ~ \ I g ~ol.- (",c:.o I Y /N I COMPANY REGISTERED Y/N FEE CURRENT Y/N License # COMPANY REGISTERED Y/N FEE CURRENT Y/N COMMERCIAL. SIGN PERMIT Fences (Plot/Survey/Footage) Driveways-Not bver Counter if on public roadways..needs ROW