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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received /~ -lz-"7 Owner's Name /TrKI pc:; s Owner's Address I 3 8' 8'3 <} Fee Simple Titleholder Namel Fee Simple Titleholder Address I JOB ADDRESS /Sh:m e e J.,vc. Grot'- ~ ~e 2"'f~r.4r;6 Fl .53.>-1-2- Owner Phone Number Owner Phone Number I Owner Phone Number I l' ~8639 ~ LOT # SUBDIVISION s'-t'-' I B o D ADD/ALT REPAIR COMM FRAME PARCEL ID#II / -.:zt -,.;! I- O(l/d - .I ~"tJt! - dt' 70 WORK PROPOSED B D D NEW CONSTR INSTALL SFR BLOCK PROPOSED USE TYPE OF CONSTRUCTION D D D (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH OTHER Ji::., 5 k 1/ .;1 tC vii ,t"f ,f-h;J'..:r ~<1~~&)(" STEEL D OTHER I ~ 1k7.i ,!J~. -!t!"t1~r5 DESCRIPTION OF WORK #51zu!.-t ."f L EIJ Ex-;) .L, A ,15 SQ FOOTAGE I BUILDING SIZE I I , I I I . . I I I ~ . I I . I , I I I , I I I . , , I I , , I I . I , I I r I , I . , r I I I I I I ~ I I , , I I I I I . . , I I . , t 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 t I I I , I I I , I I I I I I , , I I . I I , I I ~ 1 I I I . , I I I I I I , I I I I 1$ 1$ 3,ft ,;, o PLUMBING 1$ o MECHANICAL 1$ o GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 111111111111I1111111111111111I111I1111II111111111I11111111II1111I111III111I111111111111111111111111111111II111111111111111111I11111111111111111111 I I I I I I I I I I o BUILDING 0' AMP SERVICE VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY ELECTRICAL ~ D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION License # 11111111111II1111111111111111111111111111111111111111111111111111111111111111111I11111111I111111111I111111111111111111111111111111 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 subdivisionsllarge 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 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. BUILDER SIGNATURE COMPANY REGISTERED Address ELECTRICIAN 11-7:7. '--->>. . ) A">r-vf SIGNATURE . ~ ~ tx/,/ - - Address I PLUMBER I SIGNATURE COMPANY REGISTERED COMPANY REGISTERED Address MECHANICAL SIGNATURE COMPANY REGISTERED Address OTHER SIGNATURE COMPANY REGISTERED Address 111111111111111 RESIDENTIAL COMMERCIAL SIGN PERMIT Y/ N FEE CURRENT Y/N License # I ~I-h~ ~/~(! Inc. I IY51 N FEE CURRENT I Y / N I [11.r # I ;IT p( 3 1 License # Et!. - dt?t' f.;lt<Y Y/N Y/N FEE CURRENT License # Y/ N Y/N FEE CURRENT License # Y/N FEE CURRENT Y/N 11.................1...........................................................111..111....1....1......11111.....1111.......1111..1............... Directions: 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 AlC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW