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813-780-0020 City of Zephyrhills Permit Application Building Department Date Received E . r/;c,.. I I '7 13',JBLiw LAJ Fax-813-780-0021 ~1t3 Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name SUBDIVISION etZGSI LOT # I J ( I PARCELlD#lo2 - 2~ -2 1-tt72.aO -"o~ocJ --o3~() (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH JOB ADDRESS D NEW CONSTR c=J ADD/AL T D D INSTALL D REPAIR PROPOSED USE D SFR D COMM D TYPE OF CONSTRUCTION D BLOCK D FRAME D DESCRIPTION OF WORK ~~;j G [) D/~ j 1'7;.1<.. 'J BUILDING SIZE I /L/ X ,'z.., "I sa FOOTAGE 0" I HEIGHT I 51' TTTTTT 111I11 ' , I 1111 III 11I11 i 1111I11 , , , 111I11 , II r , , 11I1I11111111111111 . , , , , I , II111111111111111111111111111 ' II1II111111 ' I III ' II , 1111I111111111111111 ~ BUILDING :: /9 (f. /P, ~ f .n~tle'TIONOFTOTALCONSTRUCTION o ELECTRICAL . ~AMP SERVICE D PROGRESS ENERGY D W.R.E.C. o PLUMBING 1$ I ~C> L- tJ I A- o MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION o GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 1111111111'111111111111111111111111111111111"1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 WORK PROPOSED OTHER I STEEL D OTHER I Address Y / N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT Y/N I I I I I I I I I I BUILDER SIGNATURE ~f~q c::;<.-'-'~ Y / N I FEE CURRENT Y / N License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address OTHER SIGNATURE COMPANY REGISTERED Y/N Address 111111111111111 RESIDENTIAL License # 11111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111 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 onsile, 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 Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. COMMERCIAL SIGN PERMIT iii~~~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 . . . I I I . . . I I I 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 AlC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW