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813-780-0020 Date Received City of Zephyrhills Permit Application Building Department Fax-813-780-0021 WORK PROPOSED B D D I NEW CONSTR INSTALL SFR BLOCK itS MoVe.. I rn D D ~I ~ SQ FOOTAGE ADD/ALT REPAIR COMM FRAME 5;< 1 -- Jf-91 gl3 '7g3-~4-17 I I I I lOT# I I PARCELlD#1 0 g -~h-~ J -0/ ~O -OOOOO-o3tld (OBTAINED FROM PROPERTY TAX NOTICE) D SIGN D MOVE D D OTHER D STEEL D $!j$t~ I HEIGHT I Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name Owner's Address Fee Simple Titleholder Namel ':01 run Pi Fee Simple Titleholder Address " $ aA'YLt. JOB ADDRESS SUBDIVISION DEMOLISH PROPOSED USE TYPE OF CONSTRUCTION OTHER I DESCRIPTION OF WORK Ale BUILDING SIZE . , I I I , I I I . , , I I I I , I . I , I I . , 1 I I I . , I I I , , I I . I I I . , r I . I , I I , , I . . , I I I . I I , , I I , , , I . . I I I . , I I I I , ~ I I I I r I I I . r I I I I , , I I , I , I . I I I . . . , I I I I r . I I I I . , I I I , , I I . . , I I I . . , I I I I 1$ I 1$ I 1$ I 1$ Sq 00. 00 I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII111I11111111II111111111111111111111111111111I111111111I1111111111111111111I1111111I111111111 D BUILDING D ELECTRICAL D PLUMBING ~ MECHANICAL VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address ELECTRICIAN I SIGNATURE . Address I PLUMBER I SIGNATURE Address I License # COMPANY REGISTERED Y / N FEE CURRENT Y/N License # COMPANY REGISTERED Y/N FEE CURRENT Y/N Address COMPANY REGISTERED MECHANICAL SIGNATURE OTHER SIGNATURE Y/N FEE CURRENT Y/N COMMERCIAL Address License # 1111111I111111111111111111111111111111111111111111111111II111111111111111111I11111111111111111111111111111111111II111111111111111I11111111111I1111 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/ 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. SIGN PERMIT Dl~~~ii~~~': . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . 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 Attomey (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