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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner Phone Number Owner Phone Number I Owner Phone Number I /' Owner's Name ./ JOB ADDRESS I I I )M cuv-e-/ I LOT # I I I PARCELlD#1 I 'do. -d-~- ~\ - 0030 -bD5o-z:> -0080 I (OBTAINED FROM PROPERTY TAX NOTICE) o NEW CONSTR c=l ADD/AL T D SIGN D MOVE 0 D INSTALL D REPAIR PROPOSED USE 0 SFR D COMM D OTHER I TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I /::::~~~::OFWORK I ~~OOT;EL~/ r::f~V 111111111111111111111111111111111111111111111111111"1"111111111111111111111'1111'1111111111111111'1"1111''1"111111111111111111""'11111111111 D BUILDING ./ 1$ }~ -d ~ D ELECTRICAL 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I D GAS D ROOFING D SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 1111111111111111I111II111111111111I1111I11111II1111I111II111111111I11111111111I11111I1111111111111111III1II111111111I111111II111111111111111111111 k'l~~~//'/?t:2/} /?~~. I COMPANY I)~ O-r:~~ /yV?/~~ J-'(..~ REGISTERED Y/ N FEE CURRENT T Y/N- I Address License # I I Fee Simple Titleholder Name /' Owner's Address Fee Simple Titleholder Address I 13i ;.} c,5 I SUBDIVISION WORK PROPOSED DEMOLISH VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE ELECTRICIAN SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N Address License # Y / N FEE CURRENT License # Y/ N FEE CURRENT License # Y/ N FEE CURRENT PLUMBER SIGNATURE COMPANY REGISTERED YIN Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address OTHER SIGNATURE COMPANY REGISTERED YIN Address License # 1II111111111111111111I1I11111II1111I1II1111I1111I11111II11111111111111111111111111I11111II1111111111111II111111111I11I1111II111I1I111I1111I1111111 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 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 w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 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 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 (PloUSurvey/Footage) Driveways-Not over Counter if on publlcroadwaysooneeds ROW