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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Owner's Name \Ll\ Owner's Address 10(0& Fou N. oMS Fee Simple Titleholder Namel Date Received Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address I 3'7Q,-/ ? -n~ A'" lOT # JOB ADDRESS WORK PROPOSED NEW CONSTR INSTALL SFR BLOCK I E3 D D frL (2...~~ PARCELlD#1 IO.-')l.--4....001C:.- &qbcO--ci)H (OBTAINED FROM PROPERTY TAX NOTICE) d SIGN D MOVE D SUBDIVISION PROPOSED USE TYPE OF CONSTRUCTION B D D ADD AL T R AIR) COMM FRAME DEMOLISH D D OTHER STEEL I D OTHER I BUILDING SIZE 2-zt>~~ HEIGHT I '7 r'l. ROOFING I I I I D I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. BUILDING C'~_~\.':) VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL D PLUMBING D MECHANICAL VALUATION OF MECHANICAL INSTALLATION D GAS FINISHED FLOOR ELEVATIONS I SPECIALTY D OTHER FLOOD ZONE AREA DYES DNO BUILDER SIGNATURE COMPANY REGISTERED ~s-rfl\~ I~V\\""~)L., I Y I N I FEE CURRENT I Y I N Address ELECTRICIAN I SIGNATURE Address I PLUMBER I SIGNATURE I License # COMPANY REGISTERED Y I N FEE CURRENT License # YI N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT Y/N COMPANY REGISTERED Y/N Address MECHANICAL I SIGNATURE Address I OTHER I SIGNATURE Address I License # 111111111111111111111111I111I111111111111111111111111111111111111111II1111I1I1111II1111I111111111111111I111111111I111111111111111I1111I1111II1111I 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 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 Attach (2) sets of Engineered Plans. ''''PROPERTY SURVEY required for all NEW construction. COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N COMMERCIAL SIGN PERMIT Di~~~t;~~~': 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 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