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813-780-0020 Date Received Owner's Name City of Zephyrhills Permit Application Building Department Fax-813-780-0021 OWner Phone Number Owner Phone Number I Owner Phone Number I Owner's Address Fee Simple Titleholder Namel Fee Simple Titleholder Address JOB ADDRESS SUBDIVISION WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK LOT # B D D I I PARCEL ID#I NEW CONSTR B ADD/AL T D INSTALL REPAIR SFR D COMM D BLOCK D FRAME D (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH OTHER I STEEL D OTHER I BUILDING SIZE I SQ FOOTAGE I HEIGHT I 11"1'1""1111111'11111111111111111"111111"'111111'11111111111111"11111111111111'11111'1111"'111111111111111'1111"11111111111111111111111111 1$ I 1$ I 1$ I 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 1111111111I1111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111I111111111111I1I111111111I11111 I I I I I I I I I I D BUILDING D ELECTRICAL D PLUMBING D 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 Y/ N Address License # ELECTRICIAN SIGNATURE COMPANY REGISTERED FEE CURRENT Y/N Y / N Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y/N Y / N FEE CURRENT Address License # MECHANICAL SIGNATURE COMPANY REGISTERED FEE CURRENT Y/N Y/ N Address License # OTHER SIGNATURE COMPANY REGISTERED FEE CURRENT Y/N Y/ N License # 111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111 Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 Address 111111111111111 RESIDENTIAL COMMERCIAL SIGN PERMIT Driveways-Not over Counter if on public roadways..needs ROW Fences (Plot/Survey/Footage)