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8'13-780-0020 Deite Received City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Owner's Name S t<. 'i;q-~ Owner's Address I 55;;CS Fee Simple Titleholder Namel Owner Phone Number Owner Phone Number I Owner Phone Number I I B D D ~/-/ b~~e BUILDING SIZE SQ FOOTAGE I HEIGHT I TTTTTITTTTrl' 11111' 11'11111111'1111' 11111" '1'11111'\' 11111111' 1111111'" 1111111111111111111111111111111111111'1111' 111111111' 1'1111111111'1' 11111 Fee Simple Titleholder Address JOB ADDRESS SUBDIVISION WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK /0 7J, 57, 5"'5'.25 /bn ST LOT # PARCELlD#1 //,;;~ ,;z/ OG/O /t);2CO (OBTAINED FROM PROPERTY TAX NOTICE) D SIGN D MOVE D D D {)vL f - tXflo B D D I ~~ DEMOLISH ADD/ALT REPAIR COMM FRAME NEW CONSTR INSTALL SFR BLOCK I D OTHER STEEL OTHER I 1$ I 1$ I 1$ I 1$ 0X135 ~ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO I1111I1111I11111I11111111I11111111111111I11111111111111II111I11111I1111111111111111I1111II111II111111II111111111I111111111111111111111111111111111 I I I I I I I D BUILDING D ELECTRICAL D PLUMBING cgJ MECHANICAL BUILDER SIGNATURE VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D o W.R.E.C, PROGRESS ENERGY VALUATION OF MECHANICAL INSTALLATION ~~ COMPANY REGISTERED FEE CURRENT Y/N YI N Address License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N Y/N FEE CURRENT Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # I I~ /~c-1 5eAUI'c!~ .7~ Y I N FEE CURRENT I Y I N I License # I t?At: /~/)~9?1 1 I MECHANICAL SIGNATURE Address cS/ OTHER SIGNATURE COMPANY REGISTERED Y/N YI N FEE CURRENT Address License # 11I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111 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 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 onsile, 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 111111..111...............111..............11.1111..........11111.1111......111......111......111...11.1111111111.111....11....................... 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 AlC Fences (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW