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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received ~~rJ ::r(>Yi~ I 6/6 I" Owner's Address I J S"G A (f) E R To 1 ~ r.J fJ IE Fee SimplEl Titleholder Namel /lI/ciC flo~'yUJ ;1..1 Fee Simple Titleholder Address 1/56 Ii J:r} E 12./ h //?(iJ /J /)F JT II......... Owner's Name SUBDIVISION j}f\/ )(JS(r (?Aj. YSi'oL$ ~/ l/J LOT # JOB ADDRESS I o NEW CONSTR M ADD/ALT D D INSTALL D REPAIR PROPOSED USE ~ SFR D COMM D TYPE OF CONSTRUCTION D BLOCK ~ FRAME D DESCRIPTION OF WORK I X-rv'STA J / J{)JO LJJ()J DouJ5i (2) BUILDING SIZE I SQ FOOTAGE I I HEIGHT 111111111111""-'1111'11111111111111111111'11"1111'11111111111111111111"I"llllfll'IIIIII'II'1111111111111111I111111111111111111111111111111111 (... a, - 00\ 6. i q<:ooo- (OBTAINED FROM PROPERTY TAX NOTICE) 0\ WORK PROPOSED SIGN D MOVE D DEMOLISH OTHER STEEL I D OTHER I D 8UILDING 1$ D ELECTRICAL 1$ D PLUMBING 1$ D MECHANICAL 1$ D GAS D I I I I ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ~NO 11111111I111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111I11I1111111111I11111I11I11111111111 BUILDER ! A~ 0-):~ COMPANY IOw\,P'L SIGNATURE ;' '" : .-/ REG'"E.''' I Y I N I mCU.RE", Address. _ _ License # ELECTRICIAN I COMPANY SIGNATURE . REGISTERED Y I N FEE CURRENT Address I PLUMBER I SIGNATURE I rl-\ ~ . 0-0 VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY o W.R.E.C. VALUATION OF MECHANICAL INSTALLATION Y/N Y/N License # COMPANY REGISTERED Y/N FEE CURRENT Y/N COMMERCIAL Address MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE Address I License # 11I1I11I11I11111111111111I1111111111111111111111I111111111I111111111111111111111111111111111111111111111111111111111111111111111111I1111111111I111 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 subdivisionsllarge 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, Slormwater 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. License # COMPANY REGISTERED YI N FEE CURRENT Y/N License # COMPANY REGISTERED Y I N FEE CURRENT Y/N 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 . 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 (Ifor 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 (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW