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Date Received City of Zephyrhills Permit Application Building Department Fax-813-780-0021 813-780-0020 111.....1. Owner's Address I)" 'lIs fl. 3 J 5''1;.. Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name Fee Simple Titleholder Name Fee Simple Titleholder Address JOB ADDRESS 3~ 101 IV/tIt-rk'C t S~",,~e Zefk.c.rrh;Jfs- Fl 33:)<12- LOT # SUBDIVISION I PARCEL ID#I 0,2. ,;.., -..JI- Of) I () - 0 39~() - tf)(l,j./) (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR B ADD/AL T 0 SIGN D MOVE 0 DEMOLISH INSTALL REPAIR PROPOSED USE 0 SFR D COMM 0 OTHER 'C/) I'f "7 (' "S" eo rv I ~ .. -~ /I-fr ptM ~ tvJ~el TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL D OTHER I I DESCRIPTION OF WORK -e )ItCC ....,\~~ F'l""" >M,..+uS,ac.ket -td ,;"'siJr BUILDING SIZE SQ FOOTAGE I HEIGHT 1"'11111111111111"1'11111111111111""1'1'1111111111111111111111111..1.1.111111111111111....1.1'11111111.'"1111111'11111111111111"'11111111111 1$ I I $S-ot>' ... I 1$ I D MECHANICAL 1$ I D GAS 0 ROOFING D SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11I111111111I1111I1111111111111111111111111111111111111I11111111111111111I111111111111111111111I11111111II1111111111I1111111111111111I11I111111111 D C2f D ELECTRICAL AMP SERVICE ,/t)(J W ~ 1\ d IS"C#)\'Ce.t' fr; lit s s ~ (L." w6"r Ie reC4k" 'eel-' BUILDING VALUATION OF TOTAL CONSTRUCTION D '1/1'1 (J7 e 5:3t1 fllf - (I..rJ +" , s C#1IIwf Ie +e W,R,E,C, PLUMBING VALUATION OF MECHANICAL INSTALLATION Y/N I I I I I I I I I I BUILDER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Address License # PANt ~ ~/t:'ch-"c I Y / N I FEE CURRENT ELECTRICIAN SIGNATURE ~~w~ 39111 ~-t+,~ Rei 2-cfJ'1r),;tls COMPANY REGISTERED Fl. .~ ~$'cJ4 I License # I Y /N I I€C-ao/z(:.g Address PLUMBER SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N Address License # MECHANICAL SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N Address License # OTHER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # 11I11111111111111111111111111111II1111I111111111111I11111I111111111I111111111111I111111111111111111I1111111111111I11111111111I11111111111111111111 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 subdivisionsllarge 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 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 PERMITTtNG (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW