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I I 81 :3-780-0020 Date Received ../ 1,iD. Owner's Name -r;:;DIYJIO. ZJOJ.I. GIIIN') Owner'sAddress !1603!.f.. /() -fh 5/ ZGPJ-IyI?I-IJL{5 3351f-z1 Fee Simple Titleholt:ler Namel I Fax-813-780-0021 ~~&10 City of Zephyrhills Permit Application Building Department Owner Phone Number Owner Phone Number JOB ADDRESS LOT # SUBDIVISION (08T AINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH WORK PROPOSED! PROPOSED USE TYPE OF CONSTR~CTION OTHER STEEL I D (2~ 24 OTHER I DESCRIPTION OF ~ORK BUILDING SIZE II I SQ FOOTAGE I I HEIGHT I I I I I If' 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 r I I I I I I I I I I , I . . . I I , , I , I , . . I I , , . I I I I . . I , I I , . 1 . I I , , , , I I I I I I I I I I 1 . D BUILDINd I$~; 00 .60 I VALUATION OF TOTAL CONSTRUCTION D ELECTRI~AL 1$ '~SO.~ I D PLUMBING 1$ I D MECHANlCAL 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ~LEVATIONS I I FLOOD ZONE AREA DYES DNO' \\ \) 1111111111111111111lllllllllllllllllllllllll!111111111IIIIIIIIIIIIIIIIIIIIIII~IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII~IIIIIIIIIIIIIIIIIIIIIIII rtr BUILDER+=t:;--.... -".. ~ ~~bMPANY I ~ ~ I SIGNATURE I ~.~ ~ ~-^-vrt - REGISTERED I Y~"N- j"~EECURRENT I Y/N Address I ,/.p I License # I I ELECTRICI~. - 0 ~cl,~PANY ~O~ I = SIGNATURE -_. Iv.. <Lc -" REG'"ER''' . Y IN' m C"RRENT I Y I N Address ~ License # I I I I I I I I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION ~~'skL clli~1 PLUMBER SIGNATURE Y/N FEE CURRENT Y/N Address License # MECHANICAL SIGNATURE Y/N FEE CURRENT Y/N Address License # OTHER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # 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 subdivisions/large 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 wI 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.......1...........................................................1................................................................... Directions: Fill out applica on completely. Owner & Contr ctor sign back of application, notarized If over $2500, Notice of Commencement Is required. (AlC upgrades over $5000) Agent (for the ontractor) 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 NC Fences (Plot/Survey/Footage) Driveways-No over Counter if on public roadways..needs ROW