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813-780-0020 City of Zephyrhills Permit Application Building Department . Date Received F"-813-7BO-It'1'tiP Owner's Name I REE "'- L.- -r D Owner'sAddress 11091:l- 8o-th S-tre.u- N Fee Simple Titleholder Namel 1Ur\.f'le Tt.n~ ~~.l I Owner Phone Number Owner Phone Number I Owner Phone Number I JOB ADDRESS Fee Simple Titleholder Address I 15'8 '3~ Lr()..(\b~ L \Tre.e~Uobk,~PaJLI LOT # PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK PARCEL 10#110 .;lle, ~ . (){X:c. oo\OD' DD(J'U (OBTAINED FROM PROPERTY TAX NOTICE) SIGN 0 MOVE D SUBDIVISION WORK PROPOSED [ij D D ADD/AL T REPAIR COMM FRAME D D D DEMOLISH OTHER I STEEL D OTHER I DESCRIPTION OF WORK 0er- ok... b \u.t..e....- <.t.t-~u-hn BUILDING SIZE SQ FOOTAGE I 111111111111"'1""1'111'11"1111'111111111"1111111111111111111111111"111111111111111111111111111111'1'1111111111111111'1111111111111111111111' D BUILDING 1$ I ~L~~ 3C$D1 D PLUMBING 1$ I D MECHANICAL 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111111111111111111111111111111111111111111 ! I111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111 VALUATION OF TOTAL CONSTRUCTION CXJ ELECTRICAL AMP SERVICE lOo (XJ PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N Address ELECTRICIA~ .1 (^ SIGNATURE"~V.\.V~ Address Po Cu\L <i?~~ Ler'-""': \~ License # COMPANY REGISTERED IR~ E-1~ch)LCL-t ~~L. N I FEE CURRENT Ie N I License # I E.CI ~ r~~ FL. B"?S:Fi. o<2lo:L- I I 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 111111111111111 RESIDENTIAL License # 1I111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11I1111111111111111111111111111111 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 onsile, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/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 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. 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 . . I . . I I . . Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A1C 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 A1C Fences (PloUSurvey/Footage) Driveways-Not over Counter if on public roadwaysooneeds ROW