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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received k 1~12-50 Lv \\~ ~.J0~rV i4 S~/ ~/A I ' .111....111 Owner's Address Fee Simple Titleholder Namel Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name JOB ADDRESS Fee Simple Titleholder Address I 1311.50 1 , \ SUBDIVISION PARCELlD#1 I 0.3 ...2~ - c:L /... DO (0 - 670()O ~ (XJOO NEW CONSTR INSTALL SFR BLOCK ~v^,-\-Pn' ,0 (LcL I B D D LOT # PROPOSEI) USE TYPE OF CONSTRUCTION ADD/ALT REPAIR COMM FRAME (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH WORK PROPOSED E3 ~ D D ~ D OTHER I po"=>\ -€.A (JOJ.Jfl...e..J STEEL D OTHER I DESCRIPTION OF WORK (\S-\w cd- \ V(Y"'\ _ -Sc... ( .e.e", ~ cJ uS 1..)( e.. u v-if -e.X \ $ BUILDING SIZE I sa FOOTAGE I I HEIGHT 111111111111111111111'111'111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111'1'111111111111111111 I I 0<> l t- J.,JL D BUILDING 1$ ~/'-OO.00 I VALUATION OF TOTAL CONSTRUCTION ~L~O()- . D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C, D PLUMBING 1$ I D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO BUILDER SIGNA TURIE Addre!5s \'-{\)~o S\-....AO-", . ~ 7.J;ii.5D Sh~~) OlL COMPANY REGISTERED I fv\(". c...1\ strv c--hbrV I Y/ N I FEE CURRENT I Y/N I License # I (L;<. 00 '5 "\ ~'1 3 \~A I ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT Y/N Addreus PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURI: COMPANY REGISTERED Y/N Address OTHER SIGNATURE COMPANY REGISTERED Y/N Address 111111111111111 RESIDENTIAL License # 11111I1111111111111111111111111111111I1111111111111II1111II11111111111111111111111II1111111111111111111111111111111111111111111111 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 on site, 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 w/ 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 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 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 (1'or 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 (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW