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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name Owner's Address i t: ;2 ;;.. Fee Simple Titleholder Namel ~( )Io~ JOB ADDRESS Fee Simple Titleholder Address I I ~'6'Z2.. I WORK PROPOSED Go-\\ o\vd I D ADD/ALT D D REPAIR D COMM D D FRAME D tJ .e-rv~ - ~be~'~o..O BUILDING SIZE SQ FOOTAGE I I HEIGHT 1IIIIIIIIIIlTrTTTI , I , I1111 III , III . , . . 111I11111111111111111111 , , . 11II11111 , 11111 , , . 11111111111 . . 1I11111111111111 , III . 11111111 , . 1111111111111 , , I , III LOT # PARCEL ID#I SUBDIVISION PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK (OBTAINED FROM PROPERTY TAX NOTICE) SIGN 0 MOVE D DEMOLISH OTHER STEEL I o OTHER I 1$ I D ELECTRICAL 1$ I D PLUMBING 1$ I D MECHANICAL 1$ ~ I . .2)5'., /.u D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111111111111111111111111111111111111111111'11111111111111111111111111111111111111111111II11111111111111I11111111111I111111111111I1I1111111111111 I I I I I I I I I I D BUILDING VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W,R.E.C, VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address ELECTRICIAN I SIGNATURE Address I PLUMBER I SIGNATURE License # COMPANY REGISTERED Y/N FEE CURRENT Y/N License # COMPANY REGISTERED Y/N FEE CURRENT Y/N MECHANICAL SIGNATURE 1/;;5~1 , License # I CQN~~ FEE CURRENT Y/N License # / 8;2,. OTHER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N COMMERCIAL Address License # 111111111111111111111111111111111I1111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 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. SIGN PERMIT iii~~~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 leller from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW