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Date Received $1514 j Fax-813-780-0021 813-780-0020 City of Zephyrhills Permit Application Building Department OWner'sName M~ ~ El Owner's Address I ~~ I Y. D l \ 4-b A\U...-r\l) e , Fee Simple Titleholder Namel Owner Phone Number Owner Phone Number I ss. \ ~- OWner Phone Number I \~-'1 \S'--',S1o qqt.~~~ JOB ADDRESS Fee Simple Titleholder Address I l~l4C> I SUBDIVISION \ ~ l\u.e_ 7":;Qf'l'1l nil k.-. =\="~ '6?> ,&+'J- I PARCEL ID#I ,~- ~\e.. ~\ -Od...loO. ~\,..ttn- ~~~() (OBTAINED FROM PROPERTY TAX NOTICE) E3 NEW CONSTR c-l ADD/AL T D SIGN D MOVE D INSTALL D REPAIR D SFR D COMM D OTHER I D BLOCK D FRAME D STEEL D IUP3YQ~/0 I re.lO(~_uJ.L CYv-uIoQ.a..c~ ~OO ~ I SQ FOOTAGE I I HEIGHT I LOT # WORK PROPOSED DEMOLISH PROPOSED USE TYPE OF CONSTRUCTION OTHER I DESCRIPTION OF WORK <5eru1~ BUILDING SIZE D '1"'111111"111111111111111"11111""1111'111111111'1111"'11111111'1111111111'11111".'1111111"1111111111111111"11111111111111111"'111111111 BUILDING 1$ 1$ D PLUMBING 1$ D MECHANICAL 1$ D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII1111I111111111II11I111111111111I11111111111111I111111I1111111I11111111111111111111111I111I11 VALUATION OF TOTAL CONSTRUCTION LtJ ELECTRICAL l"?- ~c) , , AMP SERVICE d, 00 rp PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION BUILDER I SIGNATURE Address I ~~~;:~~:Nh~ .~ I Address f{)&~ ~~ ~hLi,'h\\a-.. R.. ~?:>'1~OSb-J I Y / N FEE CURRENT Y/N I I I I I I I I I I COMPANY REGISTERED License # COMPANY REGISTERED t:R~8~~ ~L. I 0'3 N I FEE CURRENT I CD N I License # I G:..( ~t:)O l~$~ PLUMBER SIGNATURE COMPANY REGISTERED Y/ 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 # 111111111111111111111I1111111111111I11111111111111I1111111111111111111111I11111111111111111111111111111111111111111111111111111111 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 subdivisionsllarge 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 on site, 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 i:ii~~~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 . . . . . . . . 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 (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW