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813-780-0020 Date Received eL- Owner's Name City of Zephyrhills Permit Application Building Department Fax-813-780-0021 :Sd v~ o.,,b ~ tsJ :kA \j\'~J 5~b~ Owner's Address I 53S' '3 Fee Simple Titleholder Namel Fee Simple Titleholder Address I 155S'5 5~ I JOB ADDRESS SUBDIVISION WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK I}'f vV\.e.y\' l^- z.t'1 ,k.1i 5 ;4 Owner Phone Number Owner Phone Number I Owner Phone Number I s-h-uA- L-tfk, f~ 1(5 ') -0, -:S:S5lf-c. I PARCELlD#1 II d-.lo -;A I DOl C 09100 00 lO (OBTAINED FROM PROPERTY TAX NOTICE) EJ ADD/ALT D SIGN D MOVE D REPAIR D COMM D D FRAME D 1- ~ LOTi E3 D D I NEW CONSTR INSTALL SFR BLOCK DEMOLISH I D OTHER STEEL OTHER I BUILDING SIZE SQ FOOTAGE I ~ i '7 'is ! HEIGHT I 1IIIII"ll"'IIIIIIIIII"'I"'IIIIIIIIIIIIIIIIIII"I'111111111111111111I11111111111111111111111111111111111111I1111111111111I111111111111111111111 1$ 36 DO . c.:sL~ I 1$ I 1$ I 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111 I I I I I I I I D BUILDING D ELECTRICAL D PLUMBING D MECHANICAL BUILDER SIGNATURE VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D W.R.E.C. D PROGRESS ENERGY VALUATION OF MECHANICAL INSTALLATION COMPANY REGISTERED YI N FEE CURRENT Y/N Address License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N Y/N FEE CURRENT Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y/N Y/N FEE CURRENT Address License # MECHANICAL SIGNATURE COMPANY REGISTERED Y I N FEE CURRENT Y/N Address License # 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 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. OTHER SIGNATURE Address RESIDENTIAL COMMERCIAL SIGN PERMIT COMPANY REGISTERED License # Di~~~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 AlC Fences (Plot/Survey/Footage) ,., Driveways-Not over Counter if on public roadways..needs ROW