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.8J 21-180-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 ............ 1-3o-0~ Q)R{' \~T8APnS\ ~\Je<:." Owner's Address l~2:3 \ F,~ Av E t.J~ Fee Simple Titleholder Namel Owner Phone Number Owner Phone Number I Owner Phone Number I Date Received Owner's Name F \-F-TU. A\J ~ I E3 NEW CONSTR D INSTALL D PROPOSE[I USE D SFR D TYPE OF CONSTRUCTION D BLOCK D eE-ew~ ~\S\\N~ ~\.)~ v.;/UR~A~ I BUILDING SIZE I SQ FOOTAGE I 6"'2 ~B I HEIGHT I \ 0 ( I ~"'" :'~::::~~"'" ':P67;1~ :'~i"'" ::~~:;:~:;~~~~'~~~~~~I::~~~~~~'~~~~~~"" ':"'" ~'~'~'~. D PLUMBING 1$ I \~ ~~ D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION D GAS rn- ROOFING D OTHER FINISHED FLOOR ELEVATIONS DYES Fee Simple Titleholder Address I 13~3>bC I JOB ADDRESS LOT # PARCEL ID#I SUBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH WORK PROPOSED ADD/ALT REPAIR COMM FRAME D D D I D OTHER I OTHER STEEL DESCRIPTION OF WORK i. Address I S:S-O b .TIJ~~~ \\J tJ~ . ELECTRICIAN I I SIGNATURE . . v ~ Af{J w ~ hl;J,/II\-l~ ~~~ DNO BUILDER SIGNATURE FEE CURRENT ~C- o-:r;7 qlf2J COMPANY REGISTERED FEE CURRENT Address License # COMPANY REGISTERED PLUMBER SIGNATURE YI N FEE CURRENT Y/N Address License # MECHANICAL SIGNATURE COMPANY REGISTERED YI N FEE CURRENT Y/N Address License # OTHER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address 111111111111111 RESIDENTIAL License # 111111111I1111111111II1111I1I111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1II11I1111111111 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 on site, 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. COMMERCIAL SIGN PERMIT iil~~~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 . 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) Reroof:> Sewers Service Upgrades AlC Fences (PloUSurvey/Footage) Driveways-Not over Counter If on public roadways..needs ROW