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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 I Owner Phone Number I -- Owner's Name Owner's Address I 2.j 7 31.0 Fee Simple Titleholder Namel J7~ S}-. LOT # I I I 1)0 + 1)1 I )7~ s}.._ ~J3 "K~3 0'& J 0 __ JOB ADDRESS Fee Simple Titleholder Address I I 2)'73lo I SUBDIVISION 00) 0 PARCEL ID#I 14 -2L::> -21- 60\0 - Dd-700~ 0\00 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN 0 MOVE 0 DEMOLISH .., WORK PROPOSED B -PROPOSED USE 0 TYPE OF CONSTRUCTION 0 -or DESCRIPTION OF WORK I ~VI(i JJ- ~ (SL.'-L O-hlh-Ln ( l 1"\ k..... <t J:..n~ ( , <0 ( ()..)DDd BUILDING SIZE I SQ FOOTAGE I OL\ 9 I 1 HEIGHT I I 1"1"1111111111111111'1111111111"""'1111111111111111111"'1111111111"1111111111111'111111111111111111111111111111111111111111"'1111111'11111 NEW CONSTR INSTALL SFR BLOCK I B D D ADD/ALT REPAIR COMM FRAME o o o I o OTHER I OTHER STEEL "0 1$ I . I'd.DO. aD o ELECTRICAL 1$ I o PLUMBING 1$ I o MECHANICAL 1$ I o GAS 0 ROOFING D SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNo 11111 11111 11111 11111 11111 11111 11111 III 11111 I! 11I1111111111111111111111111111111I11111111111111111111I1111111111111111111111111111111111111111111I1 AMP SERVICE D PROGRESS ENERGY D W.R.E.C. BUILDING VALUATION OF TOTAL CONSTRUCTION VALUATION OF MECHANICAL INSTALLATION ':. COMPANY ~ ~ C R Il.. N""\ lI.. ... REGISTERED Y / N I FEE CURRENT License # I I _BUILDER .' ~/-t I SIGNATURE ~-~ ~c --'5 Y/N Address COMPANY REGISTERED ELECTRICIAN SIGNATURE Y / N FEE CURRENT License # Y / N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT Y/N Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address COMPANY REGISTERED Y/N MECHANICAL SIGNATURE Address COMPANY REGISTERED Y/N OTHER SIGNATURE Address License # 1111I1111111111I1111111111111111111111111111111I111111111111111I111111111111111111I111I1111111I111111111111111111111111111111111111111111111111111 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 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. iil~~~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 . . . . 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 NC Fences (Plol/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW