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Date Received City of Zephyrhills Permit Application Building Department Fax-813-780-0021 813-780-0020 Owner's Address Fee Simple Titleholder Namel Owner Phone Number Owner Phone Number ~ I Owner Phone Number lo/fCl ,- ct77"- ? :5~~ I . Owner's Name JOB ADDRESS Fee Simple Titleholder Address I 15:2 'Iy ~.JJ:L 15/~M:~~ I PARCELlD#ViJ-fi,-?I-,10/0 . (OBTAINED FROM PROPERTY TAX NOTICE) D NEW CONSTR D ADD/ALT D SIGN D MOVE D D INSTALL D REPAIR PROPOSED USE D SFR D COMM D TYPE OF CONSTRUCTION D BLOCK D FRAME D :::L:~::~;EOF WORK I !7~:::r I ~ HEIGHT I 1111111'1"mlll""IIIIIIII'II"PII'IIIII'I"'1111111111111111'11'1""1111111111111111111111111111111111111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIITT I tJ Y3~ - LOT # SUBDIVISION (}cJ () t:? WORK PROPOSED DEMOLISH OTHER STEEL I D OTHER I D BUILDING 1$ ~' ELECTRICAL 1$ Lt~ Z_OV D PLUMBING 1$ D MECHANICAL 1$ D GAS D ROOFING I I 1 1 D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII11111111111I11111111111111111111111111I11111111111111111111111111111111111111I11111111111111 VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E,C. VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE Address COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # I ~fto~.~~ License # I ELECTRICIAN SIGNATURE PLUMBER SIGNATURE COMPANY REGISTERED Y I N FEE CURRENT Y/N COMMERCIAL Address MECHANICAL I SIGNATURE , Address I OTHER I SIGNATURE Address I License # 1I11I1I1111I1111I1111I1111I111111111111II11111I111111111111II1111I11111111111111111111111111I1111111111111111111I11111111I1111111111111111I11I1111 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 wI 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 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. License # COMPANY REGISTERED Y I N FEE CURRENT Y/N License # COMPANY REGISTERED Y/N FEE CURRENT Y/N SIGN PERMIT 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 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 A/C Fences (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways.,needs ROW