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I I 81~1-780-00<~O Date Received Owner Phone Number OWner Phone Number I Owner Phone Number I City of Zephyrhills Permit Application Building Department OwnCer's Name s: Pasf!L) . ~~:~;;~:t~;~I;ztL11f~tA;~~~:~ :3i2~T# 3~ I LttvcoLIJ f/e:"M-s I PARCELID#IJ;2.-.20-..:u-02{1tJ..~OO~O -6)3~6J (OBTAINED FROM PROPERTY TAX NOTICE) rvr NEW CONSTR r==J ADD/AL T D SIGN D MOVE D D INSTALL D REPAIR PROPOSED USE D SFR D COMM D OTHER TYPE OF CONSTRUCTION D BLOCK rn-- FRAME D STEEL D DESCRIPTION OF WORK I EtA..-, (-I cI tf-.- ::Z;J;t S i<e. L L sltJ t!~$ -e .she J BUILDING SIZE ill t)' X. I 2 I I SQ FOOTAGE I / Z 0 I I HEIGHT I E> I I I I , I I I I I I I ~ I I I I I , . j 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 ~ BUILDING 1$ 1 () tJ t!J.~ I VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL 1$ I D PLUMBING 1$ 1 D MECHANIICAL 1$ I D GAS 0 ROOFING D SPECIALTY D OTHER FINISHED FLOOR 8LEVATIONS I I FLOOD ZONE AREA DYES ~NO IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 Owner's Address SUBDIVISION WORK PROPOSED DEMOLISH OTHER I AMP SERVICE D PROGRESS ENERGY D W.R.E.C, VALUATION OF MECHANICAL INSTALLATION Address ~~l~OMPANY REGISTERED ~/U ~ tJwAJer Y / N r FEE CURRENT License # I Y/N BUILDER SIGNATURE ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL [ COMPANY SIGNATURE _ REGISTERED Y / N Address I OTHER I COMPANY SIGNATURE REGISTERED Y / N Address I License # 1I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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. 111.......11.....11.111..........111..11....11111...11.............11.111.....11......11111.......,......11.11""".1'1111""11111""'111111111 Directions: . Fill out application completely. Owner & contr!ctor 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 COUNT R PERMITTING (Front of Application Only) Reroofs ' Sewers Service Upgrades AlC Fences (Plot/Survey/Footage) Driveways-Notlover Counter If on public roadways. .needs ROW