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Date Received City of Zephyrhills Permit Application BUildin~ Department I Phone Contact for Permitting F"-81'-7-;;r:2;'~ 813-780-0020 Owner's Name Owner's Address Fee Simple Titleholder Namel Fee Simple Titleholder Address o I I I P~RCEL 10#1 AJD/AL T D REPAIR I CqMM D D FRAME D I ChaNfY! qui I I SQ FOOTAGE I I I HEIGHT 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 VALUArON OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY JOB ADDRESS LOT # WORK PROPOSED E3 D D I NEW CONSTR INSTALL SFR BLOCK I E3 D SUBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH PROPOSED USE TYPE OF CONSTRUCTION OTHER STEEL I D OTHER I ~/L , DESCRIPTION OF WORK BUILDING SIZE 1$ I 1$ I 1$ I o MECHANICAL 1$ 'ltf'32 <::: I VALUTON OF MECHANICALlNSTALLATION D GAS D ROOFING D SlCIAL TY D OTHER FINISHED FLOOR ELEVATIONS I I FLrOD ZONE AREA DYES DNO "11'1111'1"11111""1"""1111."""'1'1""111'""""'IIIIIIIII,t""IIIIII"""""""IIII'I,'I,"1111111111,"'IIII'IIIIIIIIII,'"rll.'1 BUILDING D D PLUMBING ELECTRICAL D W.R.E.C. BUILDER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y I N FEE CURRENT Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N COMPANY REGISTERED License # I I ?/!r~ Tech 5erLu;~ Ire Y I N I FEE CURRENT I Y rn License # I Address OTHER COMPANY I SIGNATURE REGISTERED Y I N FEE CURRENT Y I N "'" ~,~~::::,,!,""""" II""""""""""'" """"""""" ,i"""""!"",, """""'" ~~:::,~, " ,I""""""""""""""", ,I 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 ~UbdivisionS/large projects Attach (3) complete sets of Building Plans plus a Life 1afety Page; (1) set of Energy Forms. R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. equired onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for II new projects, All commercial requirements must meet compliance Attach (2) sets of Engineered Plans. I ....PROPERTY SURVEY required for all NEW const~ction. 11111I111111111111111111111111111111111111111111111111IIIIIIIIIIIIIIIIJIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111111111 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AlC upgra es over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would bel someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades AJC Fe~ces (PloUSurvey/Footage) I I I COMMERCIAL SIGN PERMIT Driveways-Not over Counter if on public roadways..needs ROW