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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner Phone Number Owner Phone Number I Owner Phone Number I ~ Owner's Name /"Iv -z..-~~ Fee Simple Titleholder Address .3 c; S;.. Y gTI-.7'''' z. -/l.'/~ LOT # - JOB ADDRESS SUBDIVISION PARCELlD#\ (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH 'PROPOSED USE , TYPE OF CONSTRUCTION D..---4\DD/AL T C2:r REPAIR o COMM o FRAME DESCRIPTION OF WORK <,( BUILDING SIZE sa FOOTAGE I 1111 1 , IIII 1 I fTTTTTT1 n III 1 I " III , I 11111111 , ,. III1I1II I I III 111111. III ,. III I 1111 1 III . I " , II " II , . III . IIII . III , I III . . II " II . II . 1111 nil' I 1 , " I " I I " NEW CONSTR INSTALL SFR BLOCK OTHER I JJvpL"Lt STEEL D OTHER I , WORK PROPOSED o BUILDING 1$ - 0 ELECTRICAL IV$- 33.6 C> o PLUMBING 1$ o MECHANICAL 1$ o GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 111111111111111111111111111111111111111111111111I1111II111I111I11111I1111II11111111111I1111II111111111111111I111111111I111111111111111111111I1I11I VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C, VALUATION OF MECHANICAL INSTALLATION BUILDER I SIGNATURE Address I -- ~~:;;~~~~N! r J/~ Address , PLUMBER I SIGNATURE I Y/N FEE CURRENT Y/N I I : I I I I I I. COMPANY REGISTERED Y/N FEE CURRENT Y/N COMPANY REGISTERED License # I 'rf! ': '/ ( <>,., {!:.-.; < ~d I N I License # I t: c- - C!> Oo;l g r 3 COMPANY REGISTERED Y/N FEE CURRENT YIN Address MECHANICAL I SIGNATURE Address I OTHER I SIGNATURE Address I License # 111II11111I111111111I1111111111111I11111111111I111111111I1111I111111111111111111111111111I1111I1111111II1I1111111111111111111111111111111111111111 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 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 # COMPANY REGISTERED Y/N FEE CURRENT Y/N License # COMPANY REGISTERED 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 . . . Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A1C 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