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813-780-0020 City of Zephyrhills Permit Application Building Department Date Received ?!- 13~q (pfIJ ~-kJ&:/-f~1~~ffSI I Fax-813-780-0021 (~ /' Owner's Name Owner Phone Number Owner Phone Number I Owner Phone Number I /" Owner's Address Fee Simple Titleholder Namel Fee Simple Titleholder Address I I <C:J(Y39 1t?1h&+ dphYRAILlS; U 335#0< , I I PARCELlD#1 i 1- 2~ --2\ - 00\0.. 03l0(J--6Dg-O (OBTAINED FROM PROPERTY TAX NOTICE) D NEW CONSTR C1 ADD/AL T D SIGN D MOVE 0 D INSTALL D REPAIR PROPOSED USE D SFR D COMM D OTHER TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL 0 /' DESCRIPTIONOFWORK I /-I-MII) UP m~w C KlS-rlr(c; p~un(I3/[f?J BUILDING SIZE I SQ FOOTAGE I I HEIGHT I IIIllllllllllllllPlllllllllllllllllllllllllllIlllllll1"111111111"'1111111'111111111111111111111'1"'11111'11111111111111111111111'1'111111111111 /" JOB ADDRESS LOT # SUBDIVISION WORK PROPOSED DEMOLISH OTHER I o o /0 1$ I 1$ I 1$ .Ljtfd, tJO I D MECHANICAL 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111111111111II1111I111I11I1111I1111I11111111111I1111II111II111111I11111111111111II111111111I11I1I111111111111111111111111111111111111'11'1111111 ELECTRICAL AMP SERVICE D PROGRESS ENERGY D W.R.E.C. BUILDING VALUATION OF TOTAL CONSTRUCTION PLUMBING VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N Address License # ELECTRICIAN I SIGNATURE . Address I / :~::'~~E I Ed rrt-l, :x I&~k Address I MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE Address I License # 111111II111111111111111I11111I1111II1III111I11111I111I1I11I111I11I111I11111111111111111111I11I111111111I1II11111111111I1111111111111111I11I1111111 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 w/ 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 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. COMPANY REGISTERED Y/N FEE CURRENT Y/N License # COMPANY REGISTERED (;; L0 n...e ~. Y / N I FEE CURRENT Y/N License # COMPANY REGISTERED Y/N FEE CURRENT Y/N License # COMPANY REGISTERED Y / N FEE CURRENT 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 Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) Agent (for the contractor) or Power of Attomey (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 public roadways..needs ROW