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Date Received 111111111111 Owner's Name Owner's Address 1 3 I ( 2- I Fee Simple Titleholder Namel City of Zephyrhills Permit Application Building Department Fax-813-780-0021 81 :3-780-0020 PL Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address I 3l12--1 PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK r:o'XAV\1A PI-- I E1 o o Z<ph;vJ. ,II; f- J j 3 s-Lf2 107 .., 1_ '1 olea -001000-0 c:.-o cJ PARCELlD#~- L.-V/ - l- - ...> (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D LOT # JOB ADDRESS SUBDIVISION DESCRIPTION OF WORK B o D (l..e.. of 0 -0 ..f ADD/ALT REPAIR COMM FRAME D o D 30 DEMOLISH WORK PROPOSED OTHER I STEEL D BUILDING SIZE t c.... v HEIGHT I OTHER I 1i'M- kv II f'~ SQ FOOTAGE p., I . . I I I . . . r I . . . . I I I I '. I I . . . I I . . P 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 II I . . . . . . . I I I I I I I . . . . I I I . I . . . . . . . . . . . . r . I . . I . . , D BUILDING 1$ 5"g--O 0, c) 0 D ELECTRICAL 1$ D PLUMBING 1$ D MECHANICAL 1$ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION D GAS ~ ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 1"""1""111111'11""'111111""1"11111111111111''PI"'IIIIII""'I"IIIIII'IIIIIIIII'I""'II'II'I"""'11..1"'1'111...'1111,.."..,.,..., COMPANY R,EGISTERED BUILDER SIGNATURE Y/N Address COMPANY REGISTERED ELECTRICIAN SIGNATURE Y/N Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE Address OTHER SIGNATURE Address 11111111111111111111111I1111I111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111 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 COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (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 all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 Directions: 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 (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW