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Fee Simple Titleholder Address I 18g;J;).5 I f:;<Jh ~ I LOT # I I PARCELlD#III-;t~- ;11-0010 -03300 -OIYD (OBTAINED FROM PROPERTY TAX NOTICE) c:=J, ADD/ALT D SIGN D MOVE D ~ REPAIR D COMM D D FRAME D Ghj DuX /Jr/~ lU\its BUILDING SIZE I sa FOOTAGE I I HEIGHT I 1111111111111111'111111111"'111111111111111111111111111111'11"1111111111111111111""11111111111111'11111111""1111111111111"1""'11111111111 813-780-0020 .. Date Received Owner's Name Owner's Address Fee Simple Titleholder Namel JOB ADDRESS SUBDIVISION WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Owner Phone Number OWner Phone Number I Owner Phone Number I E3 D D I NEW CONSTR INSTALL DEMOLISH I D OTHER STEEL SFR BLOCK OTHER I 1$ I 1$ I 1$ I 1$;<1,031.50 I , D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII111I11111111111II1111111I111II111II1111I1111111I1111111111111I111111111IIII111I1111I11111111 D BUILDING D ELECTRICAL D PLUMBING ~ MECHANICAL VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D D W.R.E.C, PROGRESS ENERGY VALUATION OF MECHANICAL INSTALLATION BUILDER COMPANY SIGNATURE REGISTERED Y / N FEE CURRENT Y/N Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/N FEE CURRENT Y/N Address License # PLUMBER COMPANY SIGNATURE REGISTERED Y/N FEE CURRENT Y/N Address License # I MECHANICAL COMPANY I Cf!/~/I A~C:CURR0WLp~X SIGNATURE REGISTERED Address License # I CAcoS&S15 OTHER COMPANY SIGNATURE REGISTERED Y/N FEE CURRENT Y/N Address License # 111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11 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 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~~~ii~~~': . 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 (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMtTTING (Front of Application Only) Reroofs Sewers Service Upgrades A1C Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW