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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received 5,11 L \)~-<,\i~ - \;) L l c. I - l7 -0 -, Owner Phone Number Owner Phone Number I Owner Phone Number I - Owner's Name >- Owner's Address Fee Simple Titleholder Namel Fee Simple Titleholder Address SUBDIVISION c{,o 10 5~lv~<~J~ R~c...~ v2lv~. .5t Lv..e" ~ -d."'V j;\'lihLt. i.~ PARCEL ID#I -r" JOB ADDRESS LOT # (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH u::J' NEW CONSTR D ADD/AL T D D INSTALL D REPAIR 4. PROPOSED USE D SFR D COMM D OTHER I TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D DESCRIPTION OF WORK c.. ~ \/ ( 4. '5., v' '- l) '\ 0 ~ ~ ~ \ 0 () -..- L {' BUILDING SIZE SQ FOOTAGE I TTI'IIIIII'IIII'lllll'IIIII"'IIIII'IIIIIIIII"111111111111111111"1111"'11111111111"'111111111111'1111"11IIII'IIIIIIII'IIPIIIIIIIIIIIIIIIIIIII WORK PROPOSED OTHER I G \I' e"""\ ~V~-< y.\-V~.+ 1$ I 1$ \ \ ~ c-u I \ 1$ I 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111I11111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111 D BUILDING D ELECTRICAL D PLUMBING D MECHANICAL VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE Address II. ~ ELECTRICIAN ' SIGNATURE . . COMPANY REGISTERED Y/N FEE CURRENT Y/N Address I u ~ \a.O.r COMPANY REGISTERED L License # rr1~o\.'l. Elec..~vl..~<:" I YI N I F~CURRENT I Y/N I License # I Ii c.. l .3 00 ) I 11 PLUMBER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N COMMERCIAL Address MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE Address I License # 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111I11111I11111111111111111111111 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. License # COMPANY REGISTERED Y I N FEE CURRENT Y/N License # COMPANY REGISTERED Y I N FEE CURRENT Y/N SIGN PERMIT 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 . . . . . . . . . . . . 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 A1C Fences (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW