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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 i 'e\-e ...... :S0Hfo.)S.~) Owner's Name ~ ' \ l Owner's Address 1'37 22-1 P r \. C-Q...- D C2.... 2h ~ \ \ ~ Fee Simple Titleholder Namel F" Slmpl. T,",hold" Add.... ~ ~ ~ A0e- JOB ADDRESS 1'3<63 _ 0 _ Date Received Owner Phone Number Owner Phone Number I Owner Phone Number I LOT # h~/2U PARCEL 10#1 NEW CONSTR INSTALL SFR BLOCK I B D D D D D WORK PROPOSED B PROPOSED USE D TYPE OF CONSTRUCTION D DESCRIPTION OF WORK 1 (2Q("ock'- ~hi.(\S~ .- ~O'i-r BUILDING SIZE I I sa FOOTAGE 1 HEIGHT I 111""111111"'11111111"1111"1111111"11111111111"'1111'111111""'111111""11'1'111111'111111"111111111'11111111111111111111111111'1'1111'1 ADD/AL T REPAIR COMM FRAME t\- 2~- Z-l - 6blb~ICo~' o\9b (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH SUBDIVISION OTHER STEEL I D OTHER I _ )lTHER ?S SIGNATURE I Y I N FEE CURRENT Address ( e I - F<. ..335...zr License # 1I111111111I1111I1111111I11111111I11111111111111111111I11111111II111111I111111II1111I1111111111111111111111111111111111111111111I11111111111111111 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, D BUILDING 1$ I i:).l1 C5D, C~7.:) D ELECTRICAL 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 1I111I11111111111111I11111111111I111111I1111111111I1111111111111111111I11111I11111111111I1111I11111111111111111I1II111I111111111111111111111111111 I I I I I I I I I I VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W,R,E,C. VALUATION OF MECHANICAL INSTALLATION COMPANY REGISTERED BUILDER SIGNATURE YI N FEE CURRENT Y/N Address License # COMPANY REGISTERED ELECTRICIAN SIGNATURE YI N FEE CURRENT Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # MECHANICAL SIGNATURE COMPANY REGISTERED YI N FEE CURRENT Y/N Address License # Y/N 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 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