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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Fee Simple Titleholder Name Owner Phone Number Owner Phone Number I Owner Phone Number I Date Received . / Owner's Name ./ Owner's Address ,,/ JOB A.DDRESS Fee Simple Titleholder Address I I~~ I LOT # SUBDIVISION PARCEL ID#I \ \ - 'ZL.. 2.1- 00\0.- \ '1~60.- 6CXoO (OBTAINED FROM PROPERTY TAX NOTICE) SIGN 0 MOVE D /0 I D NEW CONSTR El ADD/AL T D D INSTALL REPAIR PROPOSED USE D SFR D COMM D TYPE OF CONSTRUCTION D BLOCK D FRAME D "'-DESCRIPTIDNO.WORK Ihk t!t~ cttf. >8~ BUILDING SIZE .' I SQ FOOTAGE I I HEIGHT Tlllllllllllllillllllllllllil"'I'IIIIIIIIIIIIII'I".''1111111111111"'111111'111'11111111111111'111111111111111111111"'111111111111'11'111111111 1$ 1 1$ 1 1$ I 1$ 1~5tJ,.~ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111111111111111111111111111111111111111111'1111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 WORK PROPOSED DEMOLISH OTHER STEEL I D OTHER I o o o BUILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL AMP SERVICE D PROGRESS ENERGY D W.R.E.C. PLUMBING MECHANICAL VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N Address License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N COMPANY'" REGISTERED License # I 7~ ttJ/AY}1 //i 1 Y / N FEE CURRENT - I Address , :,~~~~~~:L ~;/ J1e/~I'N./ Address _ _ OTHER I SIGNATURE Address I License # 1I111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11I11111111I1111111111I11I111 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 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. Y/N License # COMPANY REGISTERED Y/ N FEE CURRENT Y/N COMMERCIAL SIGN PERMIT Dl~~~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 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 (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW