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813-780-0020 City of Zephyrhills Permit Application Building Department P;tq500021 Date Received Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name I I I 3 rc( <.5:r:- I LOT # I I I PARCELlD#III- 2- (p- 2.. { - OO/d - 07300- OI9'd I (OBTAINED FROM PROPERTY TAX NOTICE) D NEW CONSTR c=J AD DIAL T D SIGN D MOVE D D INSTALL D REPAIR PROPOSED USE D SFR D COMM D OTHER I TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D DESCRIPTION OF WORK I ~~j)~ /".sf ~/ e, J07LY 6#;: BUILDING SIZE I SQ FOOTAGE I / h Sf I HEIGHT I '1111'11"111"1111'1'1"111111""11"'111"'11111'11111'1111111111'11"11111111111111111111111111111111111111111111111'111111111111.'1111111111' Owner's Address Fee Simple Titleholder Namel Fee Simple Titleholder Address I 5LJ 0 $" -5'11'1 JOB ADDRESS SUBDIVISION WORK PROPOSED DEMOLISH OTHER I ;;J/v, 6<::y Ir '"" (? D BUILDING 1$ J2-0D. aD I 1$ I 1$ I I D I VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL AMP SERVICE D PROGRESS ENERGY o W.R.E.C. D D MECHANICAL r-- D GAS ~ ';;;-OFING FINISHED FLOOR ELEVATIONS PLUMBING VALUATION OF MECHANICAL INSTALLATION SPECIALTY D OTHER FLOOD ZONE AREA DYES DNO 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 COMPANY REGISTERED BUILDER SIGNATURE YI N FEE CURRENT License # Y I N FEE CURRENT License # Y/N FEE CURRENT License # YI N FEE CURRENT Y/N Address ELECTRICIAN I SIGNATURE . Address I PLUMBER I SIGNATURE I COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N Address MECHANICAL I SIGNATURE . Address I COMPANY REGISTERED Y/N License # I OTHER COMPANY I .s.~~ck/Z'1~ 40,1;;' SIGNATURE REGISTERED I Y I N I FEE CURRENT I Y I N I Address 0 I 0 S t<..- S License # ICe c (J f 79' F7 11111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111 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 wI Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdlvisions/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. COMMERCIAL SIGN PERMIT 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 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 NC Fences (PloVSurvey/Footage) Driveways-Not over Counter if on public rol:idways..needs ROW