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8'13-780-0020 City of Zephyrhills Permit Application Building Department Date ReceivEld Owner's Name Owner's Address Fee Simple Titleholder Namel Fee Simple Titleholder Address I JS()3 P.t-litldf L/Ll)e IE M2-ru.iI !1J/Ai /lj/ 4/}f PARCEL 10#1 Owner Phone Number Owner Phone Number I Owner Phone Number I JOB ADDRESS LOT # 1~J-7 B PROPOSED USE D TYPE OF CONSTRUCTION D DESCRIPTION OF WORK I 1 I&.-( ~ tfJ..' , 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 . . 1$ r;).O) 000. ou 1$ 1$ 1$ c=J GAS c=J FINISHED FLOOR ELEVATIONS I SUBDIVISION WORK PROPOSED rtl ADD/ALT c=J [C] REPAIR D COMM D o FRAME D rLA-c1 .J' ~ /OJ m SQ FOOTAGE I 00 if 'I I NEW CONSTR INSTALL SFR BLOCK BUILDING SIZE L 6../? '- i. I co COMPANY REGISTERED BUILDING ,;J.'I-~ - C)..f -OO~{) -(5()OOO- ~d (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE c=J DEMOLISH OTHER STEEL I D OTHER I HEIGHT I 9J 9l c=J AMP SERVICE VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY ELECTRICAL PLUMBING o D ~ W.R.E.C, VALUATION OF MECHANICAL INSTALLATION MECHANICAL ROOFING SPECIALTY D FLOOD ZONE AREA BUILDER SIGNATURE Addr~/1 .3S'"03 .1 Ppn:/of L~ ELECTRICIAN SIGNATURE Address PLUMBER SIGNATURE '.I" COMPANY REGISTERED Address MECHANICAL I SIGNATURE , Address I OTHER I SIGNATURE Address I COMPANY REGISTERED COMPANY REGISTERED OTHER DYES DNO otv Ai' r I YI N I FEE CURRENT Y/N License # ao J..t. r I YI N I Y/N FEE CURRENT LIcense # OWMr I Y I N I FEE CURRENT Y/N License # Y I N FEE CURRENT Y/N LIcense # Y I N FEE CURRENT Y/N License # 111111111111111111111111 J 111111I11111 Jill J 11111111111 J 11111111 Jill J II J 111111111111111111111111111111111111111 J 1 J 111111111111111 J I J II J 1111111111111 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 onslte, 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 Slit Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance StGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 1111111111111111111111111111111111111111111'1111111111111111111111111111111111111'1111111111111111111111111111111111111111111111111111111111111111 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