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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Datlt Recei..'ed LL c...... Owner's Name Owner Phone Number Owner Phone Number I Owner's Address Fee Simple Titleholder Namel H I Fee Simple Titleholder Address 1.3 ~gl t.{ C,~ (:, 4 (p 1/4 ~.J.. _ r J- ) l~oN c ~ (rIP/'" ~ 51-) I J PARCELlD#1 (OBTAINED FROM PROPERTY TAX NOTICE) D NEW CONSTR r=J ADD/ALT D SIGN D MOVE D D INSTALL D REPAIR PROPOSED USE D SFR D COMM D OTHER TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I DESCRIPTION OF WORK 13 17 shrAp A-L-~ 0 f) { f -:6~ D~ ) BUILDING SIZE I I SQ FOOTAGE I HEIGHT III , 11I1 1111 " 1111 , III 1 II " , 11II111 " III " 11111I11111 II " III " ' II " II , , , ' , 11II1111 ' " I " " , ' 1II111 , ' , 11111111 " " 11111 , . 11111 " I " I " 1 ' " " I " , I ' I o BUILDING 1$ /rOD{J, DV I VALUATION OF TOTAL CONSTRUCTION f,4-#=-FL I~..J~ ry !,/J- I JOB ADDRESS LOT # SUBDIVISION WORK PROPOSED DEMOLISH D ELECTRICAL 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I D GAS D ROOFING D FINISHED FLOOR ELEVATIONS AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION SPECIALTY D OTHER FLOOD ZONE AREA DYES DNO BUILDER SIGNATURE ~ 7~7Zn'~ >1.J..c. I Address License # Ieee. ()~/:J~' , ELECTRICIAN SIGNATURE Y/N I I I I I I I I I' COMPANY REGISTERED Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL I COMPANY SIGNATURE . REGISTERED Y I N Address I OTHER I COMPANY StGNATURE REGISTERED Y / N Address I License # 11I1111111111111111111111111111I111111111111I1111II1111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111I111 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 w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL 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 SIGN PERMIT Attach (2) sets of Engineered Plans. "--PROPERTY SURVEY required for all NEW construction. 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 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