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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Owner's Address Fee Simple Titleholder Namel Fee Simple Titleholder Address I Owner Phone Number Owner Phone Number I ~ \ ~ Owner Phone Number I 3s~ LUJJ LAhc.,L- I : I LOT # I Date Received ..' Owner's Name 64 ,\ )S.\ r2J I D NEW CONSTR D ADD/AL T D ~ INSTALL D REPAIR PROPOSED USE D SFR 0 COMM D TYPE OF CONSTRUCTION D BLOCK 0 FRAME D / DESCRIPTION OF WORK I ~~~I,J \.-\)<<t l-\2, ~ l}~ S \ ~ 'N ~~ &.~ ;-';Dt. ~ bJ \~ BUILDING SIZE I I SQFOO;AGEI I HEIGHT I fT)ov{"lttC.V + ~ TIIIII"IIIIIIIII"-)".I"",,,,""'1,,IIII'IIII'I"""'""1"11"11'111'"111'"""11'"11'11'"11'111'"11'"11"111'11'"11111111'111'11'"111111"111111 SUBDIVISION 15..32. ") I PARCEL ID#I H- 2(J) - Z \ - 60 \ 0 -. \'3":300 - 00 (D (OBTAINED FROM PROPERTY TAX NOTICE) SIGN 0 MOVE D DEMOLISH / JOB ADDRESS WORK PROPOSED OTHER STEEL I o OTHER I D BUILDING 1$ 665' -0:0.. I D ELECTRICAL / 1$ '- cfo - ('~ I D PLUMBING 1$ I -- D MECHANICAL 1$ I D GAS D ROOFING 0 "- FINISHED FLOOR ELEVATIONS I I " VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o PROGRESS ENERGY D W.R.E.C, VALUATION OF MECHANICAL INSTALLATION SPECIALTY D OTHER FLOOD ZONE AREA DYES DNO ELECTRICIAN SIGNATURE I Cr\~O~~0 License # I I~~s\~~ License # I I I <J.V)0 ~~",3~ Y/N I I I I I I I I ~, Tc)~ I Y/N BUILDER SIGNATURE !;;2 L ~ Address Address PLUMBER SIGNATURE -- COMPANY REGISTERED Y/N FEE CURRENT Y/N Address MECHANICAL I SIGNATURE , Address I OTHER I SIGNATURE Address I License # 1111111111111111I111111III111111111I11111111111111I1111II111111111111111I111111I11111I1111111111111111111111111111111111111111111111111111111I1111 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 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. License # - COMPANY REGISTERED Y / N FEE CURRENT Y/N License # COMPANY REGISTERED Y/N FEE CURRENT Y/N COMMERCIAL SIGN PERMIT 111....111111111111...............1111111111..1111..1.111.111...11.11......11...11,...11..111.....................111..1.111111111111111111.111111 Directions: 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 NC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW