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813-780-0020 Date Received Owner's Name Owner's Address Fee Simple Titleholder Namel Fee Simple Titleholder Address JOB ADDRESS SUBDIVISION WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK City of Zephyrhills Permit Application Building Department Fax-813-780-0021 /)0 I (: V~<; jJ i'5'(' ~;::: P J pviv Owner Phone Number Owner Phone Number I Owner Phone Number I 3B707 LOT # I 3'Bl107 \ ~ Aue.- E3 D D I I B D D #/c PARCEL ID#I ,\ - 7.l.P - 2.\- 60\ b - 20S00 - DU70 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH ADD/ALT REPAIR COMM FRAME NEW CONSTR INSTALL SFR BLOCK OTHER I STEEL D 6' c;u/- OTHER I 1$ 1$ 1$ 1$ .J. C - c- d"'" I . ~:;/J<~"" D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111I1111111111 D BUILDING D ELECTRICAL D PLUMBING D MECHANICAL VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D D W.R.E.C. PROGRESS ENERGY VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE Address ELECTRICIAN SIGNATURE Address PLUMBER SIGNATURE Address COMPANY REGISTERED FEE CURRENT Y/N Y I N License # COMPANY REGISTERED YI N FEE CURRENT Y/N License # COMPANY REGISTERED Y/N FEE CURRENT Y/N License # I ~p~~ c~/('J /!CJ,JL Y I N I FEE CURRENT I Y I N I License # I / .9 .:.2-. MECHANICAL SIGNATURE Address OTHER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # 1111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111II111111111111I11I1111111 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 wI Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects COMMERCIAL 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 SIGN PERMIT Attach (2) sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. 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 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