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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 I fe....e....t..o'('-0 L:r D Owner's Address I \ 0"1 \Cl- 'Ci." -t:b g... . T Q.r...plR.:T ~ FL Fee Simple Titleholder Namel JOB ADDRESS Fee Simple Titleholder Address I I ~'1~1 ~ad('(\()r~ [;1--. tT(~lt.~. Uob ,G-- WORK PROPOSED NEW CONSTR INSTALL SFR BLOCK Z-p~ (h Ill~ H.. 3~$l-\.L PARCEL ID#ll'D. &lo. -~l . OOX'l. 00 lOll' onOO (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D LOT # PROPOSED USE TYPE OF CONSTRUCTION I ~ o o DESCRIPTION OF WORK ~ 0"'1" &~~ ~.r (rJ\ q O-ttrlu ,c:., ef\J t'-'- qUI pfY\.cu\t- Q:5 I\u ~ f>S~ BUILDING SIZE SQ FOOTAGE I I HEIGHT I I 1111'1111111111111'1111111111111111111111111111111'1.'111111111'11111111'1111"1111111"'111111111"1111111111111"1111111111111111111111111"1111 B D D ADD/ALT REPAIR COMM FRAME D D D DEMOLISH SUBDIVISION OTHER I STEEL D OTHER I 1$ I 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I D GAS D ROOFING 0 SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111I111111111111111111111 o BUILDING VALUATION OF TOTAL CONSTRUCTION \00 ~ PROGRESS ENERGY D W.R.E.C. rn ELECTRICAL AMP SERVICE VALUATION OF MECHANICAL INSTALLATION COMPANY REGISTERED BUILDER SIGNATURE Y / N FEE CURRENT Y/N PLUMBER SIGNATURE COMPANY REGISTERED License # Address ELECTRICIAN L . f, - ,~ l \\ SIGNATURE ~~V~~ Address .pO 6~ '6l:o'J.- Y / N FEE CURRENT Y/N I I I I I I, COMPANY REGISTERED COMMERCIAL Address MECHANICAL I SIGNATURE Address I OTHER I SIGNATURE Address I License # 11111111111111111111111I1111I111111111111111111111111111111111111111111111111111111111'1111111111111111111111111111111111I111111111111111111111111 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 w/ 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 # 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 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 A/C Fences (Plot/Survey/Footage) Drivew~ver Counter if on public roadways..needs ROW / I