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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received ?) 1!> II ue .~, 135 Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name Owner's Address I ~ g 9. )-3 Fee Simple Titleholder Namel Fee Simple Titleholder Address I 3~/3 ~:LJ) ;Jo~ I @ ~~~~~~T D SIGN D D COMM D OTHER c:t'i.aa:P D FRAME D STEEL D OTHER I o td ~A ;y~s d few Rephce tJ,/ 1U?0 BUILDING SIZE I s j::' 0 I SQ FOOTAGE I :;;, ,COO;' I HEIGHT I 11"1111.1'1'1111"111"111'1""'1"'11""'1111111111111111111111';111111111111111'1111"""'111111111'11""111111111111111111111111111111'1" I~t caY- ~r oev I D ELECTRICAL 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO ~~:~~~:IIIIII!""1" ~:; ~ "'! """"""""""""",, ~~~:~~~ ""/~~~ ,. ~.:~~: """"""""""""""""'1 S'GNA TURE . 'r - i7 r- "'G""'''D ~ Y I N I m C"""NT Y IN Address , License # I ELECTRICIAN I COMPANY I SIGNATURE , REGISTERED Y I N FEE CURRENT Y IN I I I I I I I JOB ADDRESS LOT # PARCEL 10#1 SUBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE) DESCRIPTION OF WORK E3 D [}(] I ReMOve NEW CONSTR INSTALL SFR BLOCK MOVE D DEMOLISH WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION o BUILDING VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C, VALUATION OF MECHANICAL INSTALLATION Address License # Y I N FEE CURRENT License # YI N FEE CURRENT License # Y/N FEE CURRENT Y/N PLUMBER SIGNATURE COMPANY REGISTERED Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address OTHER SIGNATURE COMPANY REGISTERED Y/N Address 111111111111111 RESIDENTIAL License # I1I111111111111111111111I111111I11111I111I11111I11111111111111111111I11111111111III111111111111111111111111I1I11I11111111111111111 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 wI Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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 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 iiJ~~~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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW