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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received tI r;of7 c:f Owner's Name Owner Phone Number Owner Phone Number I Owner Phone Number I .JiC) Owner's Address Fee Simple Titleholder Namel ~OB ADDRESS Fee Simple Titleholder Address I I ~~'8 d:'-+ (,~ ~ I lOT # ~IARCELlD#1 /1-2(, ~21- ()O(O-/<lCOO-()/'1( (OBTAINED FROM PROPERTY TAX NOTICE) D NEW CONSTR ADD/AL T D SIGN D MOVE D DEMOLISH D INSTALL REPAIR t) PROPOSED USE [:2Y SFR D COMM D OTHER I TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D PbESCRlPTlON OF WORK I '-'" """,- r r \ u "-c 'j of" ",,, ~ \ c;- :l.l BUILDING SIZE _ SQ FOOTAGE I HEIGHT I 11'111111111111"""1'11111111111111111111'11'1111111'1111111111111111111111""1111111111111111111111111111'111111"1'11""11111111111111111111 SUBDIVISION ..:rWORK PROPOSED OTHER I y;P D BUILDING 1$ 1/ ~ E:9-- I , D ELECTRICAL 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII111I1111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111 BUILDER ~~~ ~ COMPANY ~~ Ou..s:>~\ ~SIGNAruRE ' CJ ~..,:: ~ .'Gos"c'''D '--t ~,. N I m CURReNT I Y IN Address __ License # I ELECTRICIAN I COMPANY SIGNATURE . REGISTERED Y I N FEE CURRENT Address I PLUMBER I SIGNATURE VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION Y/N I I I I I I I I I I License # COMPANY REGISTERED Y I N FEE CURRENT Y/N Address License # MECHANICAL SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N Address License # OTHER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address 111111111111111 RESIDENTIAL License # 111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111 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 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~~~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 . 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 NC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW