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813-780-0020 City of Zephyrhills Permit Application Building Department Date Received Fax-813-780-0021 iro1~ . Owner's Name ~ Owner's Address 330.30 Fee Simple Titleholder Namel Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address B PROPOSED USE 0 TYPE OF CONSTRUCTION 0 DESCRIPTION OF WORK I J?e.JetJo/" BUILDING SIZE I SQ FOOTAGE I~o HEIGHT I 1111111111111111111111111111111111'11111111111111111111111111111"1,.,111111111111111111111111111111'..'1'1111111111111111111I11111111111111111111 NEW CONSTR INSTALL SFR BLOCK '17# /lve I B D D LOT # JOB ADDRESS 880BD SUBDIVISION PARCEL ID#III-dJt -11/ - tJt'J/ /) - tJ 9/Jx) - 0/71) (OBTAINED FROM PROPERTY TAX NOTICE) SIGN 0 MOVE 0 WORK PROPOSED ADD/AL T REPAIR COMM FRAME o o o DEMOLISH OTHER STEEL I IaaF/AJC; D OTHER I 1$ I 1$ I 1$ I 1$ I D GAS ~ ROOFING D SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 1111111I111111111111111111111111111111111111I11111111111111111111111111II1111111111111111111111I11111111111111111/11111111111111111111111111'11111 D BUILDING D ELECTRICAL D PLUMBING D MECHANICAL VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION COMMERCIAL I Address License # I ELECTRICIAN I COMPANY I SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N Address I License # I PLUMBER I COMPANY I SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N Address I License # I MECHANICAL I COMPANY I SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N Address I License # I ~~HN"'~RE l ~~.. Q L ;.~:::: I Address 191j/~ &uAlTJ?-V '1f"P. 3~~Wa.d 3Y~8 License # It'cc /3t:P5J'/S- J 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 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/ Sift 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. BUILDER SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N I 15?- r LfCJtJ//AJa I Y / N I' FEE CURRENT /JJ~. I Y /N I SIGN PERMIT Di~~~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 II I I I I . . I . . . . I . . . . . . . I I I . I 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. (A/C 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 (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW