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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Owner.s Address Fee Simple Titleholder Namel GA-Il Owner Phone Number i)l - '(;l- Owner Phone Number I ~ I ~ - q Cf 7- 0323 I Owner Phone Number I I I I I Date Received \~N.;V e.l'2- I D--{ 9-01 Owner's Name ~\{ Fee Simple Titleholder Address I ~C;DL~ S Go.. (LJ6(vd (36/ ') Sf 7- '3 I LOT# I PARCELlD#1 Jf... 2'- zt-- QD (0--1 Sc.f-oo ... 00 6:) (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D JOB ADDRESS WORK PROPOSED fi3 D D NEW CONSTR INSTALL SFR BLOCK I B D D / t2 ha /Lid I ~ /2.. ADD/ALT REPAIR COMM FRAME D D D Lilt) DEMOLISH SUBDIVISION PROPOSED USE TYPE OF CONSTRUCTION OTHER STEEL BUILDING SIZE SQ FOOTAGE I D ~ OTHER I DESCRIPTION OF WORK oat- HEIGHT TTTTTTI I I . I I r I I I I I I I I I , I I I I II I II I I I I , I I III I I I , I I I I II I . r II I I I I I I I II II I , . III I I III I I I I I I I I II I I I II I I I IIIII I I I I II II II I I I I III I I I I I I II I1III , II1II1111 I I II D BUILDING D ELECTRICAL D PLUMBING IAJ MECHANICAL 1$ I 1$ I 1$ I 1$ \ ~ q () c3 I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 1111111111111111111111111111111111111111111111111I1111111111111111111111111I111111111I11111111111111111111111111111111111111I111111111111111111111 VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. 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 Address MECHANICAL ~I SIGNATURE ~ License # COMPANY REGISTERED 5:eltv Ices FEE CURRENT Address ijl(l~ License # I tift 1815tf% OTHER SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N Address License # 11111111I1111111111111111111111I111111111111111111111111111111I11111111111111111111111111I11111111111111111111111111111111111111111111111111111111 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 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. jji~~~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 . . . . . . 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 AlC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW