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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received ::r CV("\ . :toe g- fV\ ( . }) 'th VV\- I Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name Owner's Address Fee Simple Titleholder Namel JOB ADDRESS Fee Simple Titleholder Address I ~lq Pl.JR,+~ b. 16~M -rO'~ LOT # SUBDIVISION PARCELlD#1 I E3 D D ~<W~ LI~ ~} BUILDING SIZE SQ FOOTAGE I HEIGHT I 111111111111111111111111111111111"111111111'111111111111'1'11111111111111111"'11111111111111111111111"'11111111111111111111111111111111"'1'11' WORK PROPOSED ADD/AL T REPAIR COMM FRAME (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH DESCRIPTION OF WORK B D D I NEW CONSTR INSTALL SFR BLOCK D D D OTHER I, STEEL D PROPOSED USE TYPE OF CONSTRUCTION OTHER I o 1$ I 1$ I 1$ 500 ' ~ I o MECHANICAL 1$ I o GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII11111111111111111II111111111111111111111111II1111111111I11I1111I1111111111111111111111111111 BUILDING VALUATION OF TOTAL CONSTRUCTION o [2f PLUMBING ELECTRICAL AMP SERVICE D PROGRESS ENERGY D W.R.E.C, VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE COMPANY REGISTERED YI N FEE CURRENT Y/N Address License # ELECTRICIAN I SIGNATURE , Address I PLUMBER I.A/.-A-f), _. ' -, ~ SIGNATURE . I\~ I 3~'1 tfl( <:'R S~ E. COMPANY REGISTERED Y/N FEE CURRENT Y/N License # COMPANY REGISTERED LJilll~~ FEE CURRENT COMMERCIAL Address MECHANICAL I SIGNATURE , Address I OTHER I SIGNATURE Address I License # 11111111I11111111111111111111111I111111111111111111111I11I11111111111II1111111111111111I111111111111I1111111111111II11111I111111111111111111111111 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 # lerc.'4~5~O~ COMPANY REGISTERED Y/N FEE CURRENT Y/N License # COMPANY REGISTERED Y/N FEE CURRENT Y/N 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 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 (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW