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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received. Owner Phone Number Owner's Name Owner's Address Fee Simple Titleholder Namel Owner Phone Number Owner Phone Number I Fee Simple Titleholder Address 5A m"L A'S f\ (3b\J[.- I E3 NEW CONSTR CJ INSTALL D PROPOSED USE D SFR D TYPE OF CONSTRUCTION D BLOCK D DESCRIPTION OF WORK I CA~QD8' R elorATlbll BUILDING SIZE I I CZ X -z...-t I SQ FOOTAGE I HEIGHT I TTHTrIIIIIIII , , 111111111111 , , , , , , 11'111111 . , , 1111111 , ' , 111'11111111111111111111'11111111111111 ' 1111111111 . , ' , I , 1111 , 11111111111111'1111 , III , 11111 1$ 7 <JO (>0 ~ J" 1$ 1$ 1$ c=J GAS D FINISHED FLOOR ELEVATIONS I JOB ADDRESS LOT # ADD/AL T REPAIR COMM FRAME PARCEL ID#I I '2.7-fe D D D SUBDIVISION 2- ( 0 litf) 0DjN.) (/740 WORK PROPOSED (OBTAINED FROM PROPERTY TAX NOTICE) SIGN 0 MOVE D DEMOLISH OTHER STEEL I D OTHER I c=J BUILDING VALUATION OF TOTAL CONSTRUCTION c=J c=J ELECTRICAL AMP SERVICE D PROGRESS ENERGY D WR.E.C. PLUMBING c=J MECHANICAL VALUATION OF MECHANICAL INSTALLATION ROOFING D I SPECIALTY D FLOOD ZONE AREA OTHER DYES DNO BUILDER SIGNATURE COMPANY REGISTERED Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT License # Y / N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT Y/N Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address OTHER SIGNATURE COMPANY REGISTERED Y/N Address 111111111111111 RESIDENTIAL License # 11I11111I1111111111111111111111111111111111111111111111I111111111111111111I1111111111111111111111111111111111111111111111111111111 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 on site, Construction Plans, Stormwater Plans w/ 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 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. COMMERCIAL SIGN PERMIT Di~~~~;~~~': 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 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 (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW