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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner's Name Owner's Address Fee Simple Titleholder Name Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address I ! 3'7LJ.IO TeiLhury kQn I W-itlrje- woocL I PARCEL~D#I D NEW CONSTR ,,/ ADD/AL T D D INSTALL ~ REPAIR PROPOSED USE D SFR D COMM D OTHER TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL 0 DESCRIPTlDNDFWORK I ell j DuX 41 c- S~f.-+ern BUILDING SIZE I SQ FOOTAGE I 1 HEIGHT I JOB ADDRESS SUBDIVISION WORK PROPOSED I LOT # I 10 -,1 b - ;? J - 0 I ~ 0 - O()()OO - 01 JI[) (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH OTHER I D BUILDING D ELECTRICAL ~ PLUMBING MECHANICAL TTfTTTnTrTlllllll' I" 11111111111111'" I 1 111'11' '1111111111111111' 1 I' .1111' 1111"""" '11'1111111111111" 11'11111111' 11111111"1" 111111111' 11111 1$ I 1$ I 1$ I [3~DO. 00 I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111111I11111II11II111I111I111I1111I1111I11111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111I111111111 AMP SERVICE VALUATION OF TOTAL CONSTRUCTION W.R.E.C, D D PROGRESS ENERGY VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE COMPANY REGISTERED Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Address PLUMBER SIGNATURE COMPANY REGISTERED Address MECHANICAL SIGNATURE Address OTHER SIGNATURE COMPANY REGISTERED Y/N I I I I I I I I I I Y/N FEE CURRENT License # Y / N Y/N FEE CURRENT License # Y/N Y/N FEE CURRENT License # I I~f~' ~/~Ec~!:'-P~il License # I Cko58515 Y/N FEE CURRENT Y/N Address License # 11I11111111111111I11111111111111111111111111111111111111111111I1111111111111111111I111111111111111111111111111111I1I1111111I1I1111111111111111I111 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 subdivisions/large 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 onsile, 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 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 (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 NC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW