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813-780-0020 City of Zephyrhills Permit Application Building Department Date R8cefved . Fax-813-780-0021 (j11S Owner's Name fA4CO '/Vrt-tC 'I /~~'12- Owner's Address I ~ f I '? ;-W 4' 3:J / Fee Simple Titleholder Namel Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address I ~j17 /~'1 D D D ~ c- 1t1r4 /,v t.. ~L , BUILDING SIZE sa FOOTAGE I HEIGHT I 111111111111'11111111111111111111'111111111111111111'11111111111111111111111111111111111111111111111111'1'111111111111111111111'111111111111111111 B D D I v? '7 NEW CONSTR INSTALL SFR BLOCK 30/ I B D D LOT # JOB ADDRESS SUBDIVISION PARCEL ID#I WORK PROPOSED ADD/AL T REPAIR COMM FRAME (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D OTHER I r:. ~: V7, STEEL D OTHER I DEMOLISH PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK D BUILDING D ELECTRICAL D PLUMBING D MECHANICAL 1$ I 1$ I 1$ I 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111I1111I1111111111I11111111I1111I11111I1111111111I11111111I1111111I1111II11111111111111111I11111II111111111111111111111111111111111111111111111 VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT License # Y/N FEE CURRENT License # Y / N FEE CURRENT License # Y / N FEE CURRENT Y/N Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address OTHER SIGNATURE Address c/ d N?....... /),A/f!. _ ?7 (It-Z- Lic~nse # 1111111I11111I111111111111111111111111111111111111111111I111111111I1111111111111111111111111111111111111111111111I11111111111111111111111111111111 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, Storm water Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects COMMERCIAL 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 w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 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 . . . . . . . . . . . . . . . . . . . . Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C 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 (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW