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813-780-0020 City of Zephyrhills Permit Applicatiofj., Building Department~1 r-aX-O'.)-IOV-UVL.1 Owner's Name Owner Phone Number ~ Ft..- -, S s-t-{.;).. I 2 ~ ~vh ; 1 0Wne' Phone Num'" Owner Phone Number I Date Received ty, Fee Simple Titleholder Address I SUBDIVISION Be \1-nA r'Y\ ~r 2~ ph~ r-h . " \ ~ F c:..- ~s sCjd..... I PARCELlD#k~-~6-~\-OO30 -cxj~oo- COqo (OBTAINED FROM PROPERTY TAX NOTICE) n NEW CONSTR E3 ADD/ALl 0 SIG~ 0 MOVE 0 D INSTALL REPAIR ~oc+- PROPOSED USE D SFR D COMM D OTHER I TYPE OF CONSTRUCTION D BLOCK D FRAME 0 STEEL 0 DESCRIPTION OF WORK 1 ~-e... - coef I sh i i1 ~/.Q$ BUILDING SIZE I I SQ FOOTAGE I I HEIGHT I I 111111"11'1"11"111'1111111'1111111'11.11"11'111'11'11'111'1111'1.'11"11""11111';111111"1111'1"11'11"1'1"1'111""""11"'1""1"1'1" JOB ADDRESS 15~5C\ I LOT # DEMOLISH WORK PROPOSED OTHER I o o o D 1$ L-\ '1 00 . ~ I I 1$ I 1$ I 1$ I D GAS ~ ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO III 11111 111111 I 111111111111111111 I 1111111111 !II II I 11111111111 I 1111111 I 1111111111111111111111111 i 111111111111111111111111111111111111111 i 1111111111 BUILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL AMP SERVICE D PROGRESS ENERGY D W.R.E.C. PLUMBING MECHANICAL VALUATION OF MECHANICAL INSTALLATION COMPANY REGISTERED Y/N I I I I I I I I I I COMPANY REGISTERED BUILDER SIGNATURE Y I N FEE CURRENT License # YI N FEE CURRENT License # Y/N FEE CURRENT License # YI N FEE CURRENT Y/N Address ELECTRICIAN I SIGNATURE . Address I PLUMBER I SIGNATURE I COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N Address MECHANICAL I SIGNATURE Addm" ~ /. OTHER~/~---'----'-- _. SIGNATURE ~~,.- ----..... . .-/' Address COMPANY REGISTERED License # I Lf\ ~ma.n B.ttc\~ +Y\C-- Y I N I FEE CURR I Y I N J License # I C.CL l ~S 5 05 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. Requlredonsite, Construction Plans, Stormwater Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdlvislonsllarge 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 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. DI~~~ti~~~':' . . . . . . . . . . . . , . . . . . . . . . . . . . . . . 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 (Plot/Survey/Footage) 5i-1~ RESIDENTIAL COMMERCIAL SIGN PERMIT Driveways-Not over Counter If on public roadways..needs ROW