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Date Received City of Zephyrhills Permit Application Building Department Fax-813-780-0021 8 '13-780-0020 .1/3t III1IIIIIII Owner's Address /vp Owner Phone Number Owner Phone Number I Owner Phone Number I );/3- 7~5-aS-S I I I I I LOT # Owner's Name Fee Simple, Titleholder Name JOB ADDRESS Fee Simple Titleholder Address I 15$i(? I 13II/JI I D NEW CONSTR CI ADD/ALT D D INSTALL D REPAIR PROPOSED USE D SFR D COMM D OTHER TYPE OF CONSTRUCTION [6J BLOCK D FRAME D STEEL D DESCRIPllDN 01' WORK 1.,(..,/"",-/# // 5 hn ;;.~~ n'1- H~ J&o r 7'21 rUN ;7' BUILDING SIZE I SQ FOOTAGE I _~ HEIGHT I I , II , 1111111 n 11111 1111111111111111 I 1111111111111111111111111111 , 11111111111111111111111111111111 , I ' 'I , , 111111111111111111111111111111 " 11111111111 1 kll . PARCEL ID#I SUBDIVISION WORK PROPOSED (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH OTHER I 1$ I 1$ I 1$ I 1$ /8t10 ~ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ~NO 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 D BUILDING D ELECTRICAL D PLUMBING ~ MECHANICAL VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION Y/N FEE CURRENT Y/N I I I I I I I I I I. BUILDER SIGNATURE COMPANY REGISTERED Addre:;;s ELECTRICI.AN I SIGNATURE . Addrel;;s I PLUMBER I SIGNATURE Address I License # COMPANY REGISTERED Y / N FEE CURRENT Y/N License # COMPANY REGISTERED Y / N FEE CURRENT Y/N COMMERCIIAL Address 77 (p,tJb ~~HNE~URE I Address I License # 111111I11111111111I111111111111111111111111I111111111111111111111111111111111111111111111111111111111111I111I1111111111111111111111111111111111111 RESIDENTI.AL 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 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 # py- MECHANICAL SIGNATURE I (Y// N FEE CURRENT I(ff/ N I Imt?o~~ 770 License # COMPANY REGISTERED Y / N FEE CURRENT Y/N 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 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 (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW