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8'13-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received . Owner Phone Number Owner Phone Number I Owner Phone Number I iO-2y-07 Owner's Name --p~ CK.. ~ lAutA. LQ"(,611U'~ Owner'sAddress 15l)*~ l t1~ Sl-. ~h~lhIL ~, I Fee Simple Titleholder Namel I JOB ADDRESS Fee Simple Titleholder Address I I 5ct4~ I (C1~ 8+. I Eg D D 2ep"4t'hill~ fL, '~'3S4~ I PARCELlD#lu . ~~. ~\-. OOlO' 04-4-W - OCY3'U (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D LOT # SUBDIVISION WORK PROPOSED B D D l'Keloc.G--k.... E)-L.,' csht\~ I SQ FOOTAGE I NEW CONSTR INSTALL SFR BLOCK ADD/ALT REPAIR COMM FRAME D D D 200 I DEMOLISH PROPOSED USE TYPE OF CONSTRUCTION 111111"tlllll.IIIIIIII""'IIIIIIIII.IIIII"IIII"1111111111""'11111"1111111"1'11111111111111111111111111111111111111111111111111'11111111111 OTHER I STEEL D lOrY'rp O.e.t\)\' CL HEIGHT I OTHER I DESCRIPTION OF WORK BUILDING SIZE 1$ I 1$ 't~SD.lD I 1$ I 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 111I11I1111I11111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111I11I111111111111111111111111111111111111 D BUILDING ~ ELECTRICAL D PLUMBING D MECHANICAL VALUATION OF TOTAL CONSTRUCTION AMP SERVICE ;). 0\) ~ PROGRESS ENERGY D WoR.E.C. VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address ELECTRICIANI__ A--./\.^ . I COMPANY fk'~~ el~'c.A.J SIGNATURE " .~ ~V ~ ~ ........ REGISTERED I' 10 N I FEE CURRENT Address I PO €> U'C ~I.t, 'J....- 2e.p ~ r'~ fu R-,., 33S3'1- oc&\o::L- License # I E..C'....\ Oco r~S'0 ::c:'.::.."r~~E I I ~~~~"':.:~ I License # LAL, 1t?)N I Y/N FEE CURRENT Y/N Address License # MECHANICAL SIGNATURE: COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # OTHER SIGNATURE: COMPANY REGISTERED Y/N FEE CURRENT Y/N Address 111111111111111 RESIDENTIAL License # 11111111111I11I1111111111111111I111111111111111111111111111111111111111111111111I111111111111I111111111111I11I11111111111111111111 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 on site, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivlsions/Jarge 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, Storm water 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. COMMERCIAL SIGN PERMIT 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 Fill out application completely. Owner 80. 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 PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades AlC Fences (PlotfSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW