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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner's Name Owner's Address Fee Simple Titleholder Name Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address I 5"6Jf) OLD "I^-) ~ r ;2/5"";; z- /Ills C- ICe ~r5 ooT;- 01 ;Zoo q BUILDING SIZE SQ FOOTAGE I HEIGHT I 11"'111111111111111111"'11111'1"111111111'111111111111'1111"11111"'11'1111'1111'1111111111"11111'11'1'IIIII~IIIIIIJ'IIIIIIIIIIII'IIII'I" D BUILDING 1$ 1 ~LECTRICAL 1$ '1 ) S (j 6 I D PLUMBING 1$ 1 D MECHANICAL 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 JOB ADDRESS SUBDIVISION WORK PROPOSED B D [L]' eft C'l.11 . PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK AMP SERVICE02CJO Cl..'fO 3 :5 ss-;l LOT # 12. - "2(.-,. 2\ - bo'Zb - DOi.fOD. () \ \ D (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D D D D DEMOLISH I D OTHER STEEL OTHER I PROGRESS ENERGY D WoR.E.C. VALUATION OF MECHANICAL INSTALLATION I I : I Add~ss ~ MECHANICAL I COMPAN'I .=J SIGNATURE . REGISTEREC Address I .=J OTHER I COMPANY ~ SIGNATURE . REGISTERED Address I I License # I I 111111111111111111I11111111I11 J 1I1111 J II J 11II11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 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. BUILDER SIGNATURE COMPANY REGISTERED Address ELECTRICIAN SIGNATURE Address PLUMBER SIGNATURE COMPANY REGISTERED COMMERCIAL SIGN PERMIT Y I N Y/N FEE CURRENT License # I ICre-t/-c:://o eUe-7, L--~N I FEE CURRENT IC-Y" IN I License # I I Y/N Y/N FEE CURRENT iii~~~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 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 (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW