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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 ~~() , Date Received Owner's Name Owner's Address t Fee Simple Titleholder Name Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address I I '-f)CfL( I Lf-t~t:e-6 (;Ie P./:..f2 I D ADD/ALT D D REPAIR D. COMM D OTHER D FRAME D STEEL 0 ,6k(/"~d-- lA..? ~ R>>-~c -f- 12()t+~ A ~ sa FOOTAGE I I HEIGHT I . I JOB ADDRESS PARCEL 10#1 SUBDIVISION WORK PROPOSED B D D I kp(~t>~ I PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK DESCRIPTION OF WORK LOT # (OBTAINED FROM PROPERTY TAX NOTICE) SIGN 0 MOVE D DEMOLISH OTHER I BUILDING SIZE I , ", . . I I I I . . . I ~ , I . , . I I . '. I I I r . I , I . I I I . . I I I I I . . . . I I I . . I 1 , . I . I . . . I I I . . I . I I . . . . , r , . . . . . 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 . D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL 1$ fOe) ~ I AMP SERVICE ;:2.vu ~OGRESS ENERGY D W.R.E.C D PLUMBING 1$ I /0.' tJj nn.-, D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION ~ ,<e/fJ~ D GAS D ROOFING 0 SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11'IIIP","'"""II,IIIII""III""""""I""'"111""1111"""111,"'1111""1'1'111111"111'11,1111'1"1"'1'1111"'111111'1111111""" BUILDER SIGNATURE COMPANY REGISTERED Address ELECTRICIAN SIGNATURE Address PLUMBER SIGNATURE COMPANY REGISTERED Address MECHANICAL I SIGNATURE Address I OTHER I SIGNATURE Address I COMPANY REGISTERED COMPANY REGISTERED Y/ N Y/N FEE CURRENT License # I ~~~~,":=Vf~ License # I ~-OO<:)L~?d I I I I I I I Y/N Y/N FEE CURRENT License # Y/N Y/N FEE CURRENT License # Y/N Y/N FEE CURRENT License # 111I1I111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (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. 1111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111II1111111111111111111111111111111 Directions: 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 AlC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW