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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner's Name Owner's Address Fee Simple Titleholder Namel Fee Simple Titleholder Address I IJ>PJ~Y C I Owner Phone Number Owner Phone Number I Owner Phone Number I /7ue 7'it/-/~ j F/ / I PARCELlD# I / r'-d b - j I ~ ~ J tJ,1- r!J.l-l tJ tJ - de; y t/ (OBTAINED FROM PROPERTY TAX NOTICE) o ADD/ALT [El SIGN D MOVE D D REPAIR D COMM D D FRAME D !if @ /[J C~ n NEW CONSTR D INSTALL PROPOSED USE 0 SFR TYPE OF CONSTRUCTION D BLOCK DESCRIPTION OF WORK I s: " It 1-( L0 /11\ J I BUILDING SIZE ,/ I SQ FOOTAGE I HEIGHT I 11111111' , ' 111II11111111I1 , 11111I ' 11II11 , 1111111III1111111 , . 111I1 , 11111111111111111111111111 , 11111 , . 111111I1111111 ' 1111 , II lid ',(j II , ' 11111111111 . I o BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION ~S 7' tJ -=--- JOB ADDRESS SUBDIVISION WORK PROPOSED LOT # DEMOLISH OTHER STEEL I D OTHER I 0 ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. 0 PLUMBING 1$ I tJO(?;V 0 MECHANICAL 1$ 1 VALUATION OF MECHANICAL INSTALLATION 0 GAS D ROOFING 0 SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO License # 1111111111111111111111111III1111111111111111I1111I111111I11111111111111111111111II11I11111111111I1I11111111111III111I111111II11111 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 on site, Construction Plans, Stormwater Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All cornmercial requirements must meet compliance Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. BUILDER SIGNATURE ELECTRICIAN SIGNATURE PLUMBER SIGNATURE COMPANY REGISTERED Address MECHANICAL SIGNATURE COMPANY REGISTERED Address OTHER SIGNATURE COMPANY REGISTERED Address 111111111111111 RESIDENTIAL COMMERCIAL SIGN PERMIT ~"~-I'" / Y I N I License # ItR[/ O~'l~/9 r !~S-.r L/t' c- FEE CURRENT I Y I N I License # I l=L-0002--5?O YI N Y/N FEE CURRENT License # YI N Y/N FEE CURRENT License # Y/ N Y/N FEE CURRENT 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 . . Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (Ale 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