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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 t'lllif" Date Received Owner's Name Owner Phone Number Owner Phone Number I 1<"'1'3 '2 Owner Phone Number .),.., .:;) Owner's Address ~:" (I -3 fr'" Fee Simple Titleholder Namel ~J) I q 11 f1 € Fee Simple Titleholder Address I 6;0 S ..~ I (90 S~ I I I 2 ' II1II s :2- l H; / /S PARCEL ID#I () J.-;2 (p ~/ 01 hO 00 J 00 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D (""7' ,.' ,') 7~~c uJh /' jJ '7 ~ I (~lr# {}"ti ,', . ,~7 JOB ADDRESS &t I ~ o o SUBDIVISION B PROPOSED USE ~ TYPE OF CONSTRUCTION D DESCRIPTION OF WORK I (? ~ BUILDING SIZE _ III , 11111111111111111 , 11111111111 ' 111111111111111111111111 :: 1$ 1$ c=J GAS c=J FINISHED FLOOR ELEVATIONS 1 WORK PROPOSED NEW CONSTR INSTALL SFR BLOCK ADD/AL T REPAIR COMM FRAME IJ1)6l A'[:J SQ FOOTAGE ~ 111111111"11'1111111111111'1111111111"'11111111111111'111111111'111111111111111111111 Ep c=J c=J c=J Q BUILDING I, /)00 ,I AMP SERVICE VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY ELECTRICAL PLUMBING LOT # 0090 D D OTHER D STEEL D r~+ HEIGHT I DEMOLISH OTHER I D D W.R.E.C, MECHANICAL VALUATION OF MECHANICAL INSTALLATION Address MECHANICAL ! SIGNATURE . Address OTHER I SIGNATURE Address I License # 1111111111111111111I111111111I1111111111111111I111111111111111111111111II11111111111111111111I111111111111111111II11I111111111111111111111111I1111 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 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. D I SPECIALTY D FLOOD ZONE AREA ROOFING BUILDER SIGNATURE Address ELECTRICIAN SIGNATURE JJ/* COMPANY REGISTERED Address PLUMBER SIGNATURE (I)/fJ I COMPANY REGISTERED 0/ft , COMPANY REGISTERED COMPANY REGISTERED COMMERCIAL SIGN PERMIT OTHER DYES DNO /I-()Hf e ~ rJe Il. /1' Y I N 1.(['" FEE CURRENT License # I I I I I I I I I I I. Y/N YI N Y/N FEE CURRENT License # Y/N Y/N FEE CURRENT License # YI N Y/N FEE CURRENT License # &4.rn.ruJ I Y I N I FEE CURRENT Y/N Di~~~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 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