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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received -D'7 Adventure s Gatl Blvd Owner Phone Number Owner Phone Number I Owner Phone Number I g/3~I~f - foC/1(P Owner's Name Owner's Address Fee Simple Titleholder Namel Fee Simple Titleholder Address I \-c) B,S't3 SUBDIVISION Gft-ll~ II) D I B D D DESCRIPTION OF WORK Il~ ~~ 1-3 ~..... 130X to 0 Pole 7fn (-sa FOOTAGE II rlJOSQ PT JOB ADDRESS LOT # PARCEL ID# I WORK PROPOSED B D D ADD/ALT REPAIR COMM FRAME (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK D D D OTHER STEEL I D OTHER I 7--8 2LJi)~ BUILDING SIZE HEIGHT 11111'111111111"1"1111111'11111111111111"111111111111111'1...1111111.....'.'1111'1...11111111'...1111111111""1111"'11111111""'11111111'111 1$ I D ELECTRICAL 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO I111111111I1111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 D BUILDING VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY o W.R.E.C. VALUATION OF MECHANICAL INSTALLATION COMPANY REGISTERED Y/N I I I I I I I I I I BUILDER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT License # YI N FEE CURRENT License # Y/N FEE CURRENT License # YI N FEE CURRENT License # Y I N FEE CURRENT Y/N Address ELECTRICIAN I SIGNATURE Address I PLUMBER I SIGNATURE I COMPANY REGISTERED Y/N Address MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE Address I License # 111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111I1111111111111111I111111111111 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. COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N COMMERCIAL SIGN PERMIT ' jji~~~ii~~~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 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. (A1C 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 NC Fences (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW