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Date Received City of Zephyrhills Permit Application Building Department Fax-813-780-0021 8n-780-0020 tfl~ Ower Phone Number Owner Phone Number I Owner Phone Number I Owner's Name Owner's Address I ,C; / 4 I Fee Simple Titleholder Namel '6 (O-2.-/6~ Fee Simple Titleholder Address I 5l4l WORK PROPOSED '3 rc\ 0-f-~~ I D NEW CONSTR c=J G2J INSTALL D PROPOSED USE ~ SFR D TYPE OF CONSTRUCTION D BLOCK D DESCRIPTION OF WORK I St:CVt'Rl C;'A/(' t ~~~~ BUILDING SIZE I SQ FOOTAG~ ~ HEIGHT I (2- ( 111'111"1<"""111111111111111"'11"11'1'111'11111111,.,<1"1111111111111111111111,1111111111111111111'1111111111111111"111111111111111111'1" ADD/ALT REPAIR COMM FRAME I LOT # I PARCELlD#11 {- 2~-21- 06{ 0 -I S~()~- tP (() (OBTAINED FROM PROPERTY TAX NOTICE) D SIGN 0 MOVE D D ~ 15~LvelL L-/ IV<.L D STEEL 0 OTHER I JOB ADDRESS SUBDIVISION DEMOLISH 1$ I 1$ I 1$ ~tl?~ I 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 1I1111111111111111111111111111111111111111I11111I11111I11111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111 D BUILDING VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL AMP SERVICE D PROGRESS ENERGY D W.R.E.C. ~ PLUMBING D MECHANICAL VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE COMPANY REGISTERED I I I License # I I I :l)we C~ -Pl~ SV~ I Y / N I FEE CURRENT Y / N I License # I C f= C-13 2.Jj., -3 <f9 I I I I I Y/ N FEE CURRENT Y/N Address ELECTRICIAN I SIGNATURE . License # COMPANY REGISTERED Y/ N FEE CURRENT Y/N Address COMPANY REGISTERED PLUMBER SIGNATURE Address MECHANICAL SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N Address License # OTHER SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N COMMERCIAL Address License # 1111111I111I111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111II11111111111I111111111I11111111111111111111111 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 onsile, 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 Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 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 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. (Ale 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 (PloVSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW