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813-780-0020 Date Received City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Owner's Name Owner's Address Fee Simple Titleholder Namel ~T. Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address JOB ADDRESS St'/y &,Ih S"r LOT # SUBDIVISION I PARCELlD#1 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR B ADD/ALT D SIGN D MOVE D DEMOLISH INSTALL REPAIR PROPOSED USE D SFR D COMM D OTHER I TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I DESCRIPTION OF WORK !'-e-.IL 1", 'T STi ;Y1 BUILDING SIZE D '111111'111111111111'1111'111"111"1'11'11111'"111111"111"1'"'111""11""'111111111'1111111"11"'1"'1'"'111'111"1'1111"1'"'111111111111"11111 1$ I 1$ I 1$ I 1$ /7.3 Yc; e-rl I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11I111I11111I1111I11111111111I111111111111111111111111111111111111II1111I11111111111111111111111111I11111111I1111111111111111111111111111111111111 BUILDING VALUATION OF TOTAL CONSTRUCTION D D PLUMBING ~ECHANICAL ELECTRICAL AMP SERVICE D PROGRESS ENERGY D W.R.E.C, VALUATION OF MECHANICAL INSTALLATION BUILDER COMPANY SIGNATURE REGISTERED YI N FEE CURRENT Address License # ELECTRICIAN I COMPANY SIGNATURE REGISTERED Y/N FEE CURRENT Address I License # PLUMBER I COMPANY SIGNATURE REGISTERED Y/N FEE CURRENT Address I License # Y/N Y/N Y/N MECHANICAL SIGNATURE ~ '.I ,4 //"f'V License # I LAZtJYY9YR Address OTHER SIGNATURE COMPANY REGISTERED YI N FEE CURRENT Y/N Address License # 11111111111111111111111111111111111111111111111I11I1I11111111111111111111111I111111111111II1111111111111111111111111I11111111111111111111111111111 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 onsile, Construction Plans, Stormwater Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large 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~~~ii~~~": 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 CPUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW