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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date. Received Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name D I <:.. /eel" SO'Y\ I( D b e ('/ G t SA /lei ~ M Owner's Address I.~ 3 <Fee Simple Titleholder Namel JOB ADDRESS Fee Simple Titleholder Address I I ~ (,3 /) )..4 I Ed, ~j,Joad WORK PROPOSED E3 D D NEW CONSTR INSTALL SFR BLOCK F()f"'~ S~. 2-e.r~,..hl.lls Fl. 3.35tf() I P ARCELlD# I / &/ e:l t, ;( I (/:1..1, 0 B D D LOT # 1/3 SUBDIVISION PROPOSED USE TYPE OF CONSTRUCTION Ot)(}OO "'3D (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH DESCRIPTION OF WORK r /.,c;~ /J1C';"r:"S()e..~t:f !' i',/~ S~rl.JI~-e &,1. ~.,.,,-I BUILDING SIZE SQ FOOTAGE I HEIGHT I 11..1111111111'.1..111111111111....11111111.1.111111.'11111'11111111111"1"1111111111"1111'1'11111111"'1111111111111'1111"11111111'11111111111 D BUILDING D ELECTRICAL D PLUMBING D MECHANICAL 1$ I 1$72t,<li/ I 1$ I 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 1I1111111111111111111111111111111111111111I111111111111111111111111111111111111111111I1111111111111111111111111111111111I1111111111111111111111111 VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D~RESS ENE~D /"t) ~ W.R.E.C. VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE COMPANY REGISTERED Y I N FEE CURRENT Y/N Address License # ELECTRICIAN SIGNATURE l1't~. EII!'t!- Ir /c I FEE CURRENT Address 1.uJ~ 2 License # IQ4N I I &c... - CJ0121..~ Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/N ~371 I I I I I I PLUMBER SIGNATURE COMPANY REGISTERED Address MECHANICAL SIGNATURE COMPANY REGISTERED YIN Address OTHER SIGNATURE COMPANY REGISTERED YIN Address 111111111111111 RESIDENTIAL COMMERCIAL 1111111I11111111111111111111111111111111111111111111111111111I1111111111111111111111111I11111111111I111111111111111111111II1111111 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 onsile, 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, SIGN PERMIT i:ii~~~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 . 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 NC Fences (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW I~~ - <f;dO Ifwr :;t'~/ j-ll-tJi .f\ r \Jo " tf\, r-1\V'\. J~r;~,,1\..If !f /). .