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81<1-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received ""."",,1 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 [ pt~ '~~DRESS 17)25 I Gfe~ > lore. Or Le~~yr~J\\.s fL ") 3 ) LjJ I PARCELlD#1 34 -ZS ~2\ - DDCO - D6300 -~ 06'6 \ (OBTAINED FROM PROPERTY TAX NOTICE) o ADD/ALT D SIGN D MOVE D D REPAIR G2f COMM D D FRAME D Ed PROPOSED USE D TYPE OF CONSTRUCTION D DESCRIPTION OF WORK I f'J tvJ rJre.. c:dO/M s ys-l-e", BUILDING SIZE SQ FOOTAGE I HEIGHT I 1111111 ' , In II ' . 111111 " 111111111 ' 1111 , III 1 111111111111 , ' 1111 , ' 11111 " 1111 , 1 " I III ' 1111 , 1111 , 111111111111 " 11111111111111111111111111111111 ' 1111 " SUBDIVISION WORK PROPOSED NEW CONSTR INSTALL SFR BLOCK LOT # DEMOLISH OTHER STEEL I D OTHER I D BUILDING 1$ o ELECTRICAL 1$ D PLUMBING 1$ D MECHANICAL 1$ . fi..~ D GAS D ROOFING D SPECIALTY D OTHER J aD.cro FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 111111111111111111111111111111111111111111111111111111111111111I111111111111I111111111111I11111111111111111111111111111111111111111111111111111111 AMP SERVICE VALUATION OF TOTAL CONSTRUCTION D PROGRESS ENERGY D W.R.E.C, y' t yY\ _ 5 ; 11/0-, (iud ~\i. X::<Zl2ed bc<<>C~ 1-JoC- _ brOOO.OO VALUATION OF MECHANICAL INSTALLATION Address MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE Address I License # 11111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111I11I111111111 RESIDENTIAL Atlach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construcUon, Minimum ten (10) working days after submitlal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects Atlach (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 Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Address PLUMBER SIGNATURE COMPANY REGISTERED COMPANY REGISTERED COMPANY REGISTERED COMMERCIAL SIGN PERMIT Y &J TD-t-o. \ I N I JO. cfV I I I I I I I I I Sotvt-lu-1 FEE CURRENT License # I G,N I I E F DODO Yl.\! Y I N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT License # YI N FEE CURRENT Y/N Y/N Y/N Y/N 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 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 AlC Fences (PlollSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW