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Date Received City of Zephyrhills Permit Application Building Department Fax-813-780-0021 813-780-0020 Owner's Name Owner's Address S Z , 5 Fee Simple Titleholder Namel Owner Phone Number Owner Phone Number I Owner Phone Number I JOB ADDRESS Fee Simple Titleholder Address I 1521S I 110ft? 6"tI2f:tT 2f!J;')YI2.J+/Us. J A- I LOT# I PARCEL ID#W ~ j).r 2..,~-Oo( 0...1 Q.5ob -f) 2..#\-~ (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D I o NEW CONSTR E3 ADD/All D D INSTALL REPAIR PROPOSED USE D SFR D COMM D TYPE OF CONSTRUCTION D BLOCK D FRAME D DESCRIPTION OF WORK I uP Gf!.ME ID W AmP 5t-te V teL rfVJ ! JO Am P BUILDING SIZE I SQ FOOTAGE I I HEIGHT I 111111111111'111111""1111'1111111""111111'11111111""1'11111111111111111111111111111111111111111111111111111111111111111111111'111'1111111111 SUBDIVISION WORK PROPOSED DEMOLISH OTHER STEEL I D OTHER I 1$ I 1$ -; 00 dJO I 1$ I 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111111111I11111111111111111I1111111111I1111111111111111111111111111111I11111I1111111111111111I11111111111111111111111111111111111I11111111111111 D BUILDING D ELECTRICAL D PLUMBING D MECHANICAL VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION Y/N I I I I I I I I I I BUILDER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT COMPANY REGISTERED License # I l-fom E OuJN brL I Y / N I FEE CURRENT Address ~lG~;:~~;N! ~ ~ 7c!, Address . Y/N License # PLUMBER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # MECHANICAL SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # OTHER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address 111111111111111 RESIDENTIAL License # 111II1111I111I1111111111I111II1I1111111111I111111111111I111I11I111II1111I1111111111111111111111111111111111111111111111I111I111111 Attach (2) Plot Plans; (2) sets Df Building Plans: (1) set Df 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 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. COMMERCIAL SIGN PERMIT DI~~~ti~~~': 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 AlC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW