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813-780-0020 City of Zephyrhills Permit Application i~ 116 t Building Department p...., Fax-813-780-0021 Date Rece-1ved tJL,'1- J7/S7 JPL , Owner's Name Owner's Address Fee Simple Titleholder Namel ,l(v~ Fee Simple Titleholder Address JOB ADDRESS 514"'" c... LOT # SUBDIVISION I PARCEL ID#I (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED E3 NEW CONSTR B ADD/ALT D SIGN D MOVE D DEMOLISH INSTALL REPAIR PROPOSED USE D SFR D COMM D OTHER I TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I DESCRIPTION OF WORK I BUILDING SIZE I . 'r . 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 SQ FOOTAGE I HEIGHT I D BUILDING 1$ 1$ 1$ 1$ 3e?f D GAS D FINISHED FLOOR ELEVATIONS I D D PLUMBING ~ANICAL 00 I I I I D I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF TOTAL CONSTRUCTION ELECTRICAL VALUATION OF MECHANICAL INSTALLATION ROOFING SPECIALTY D OTHER FLOOD ZONE AREA DYES DNO 11111"""1'1111"1111,,".'1111111111'11111"""'"111'111"llr""II""III"""""I""'III"""III'11....1111....'11.."'111.11.1111"'" BUILDER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address MECHANICAL ! SIGNATURE . Address OTHER I SIGNATURE Address I License # L~ ------- COMPANY REGISTERED &' A # It!.:.r / It.4 ./h~ AJL (j,q s e..t1// I Y / N I FEE C~RENT I Y / N , License # COMPANY REGISTERED Y/N FEE CURRENT Y/N License # 11111111111111111111111I111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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) complete sets of Building Plans plus a Life Safety Page; (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 SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 1I1111111111111111111111111111111111I1111111111111111111111111111111111111I11111111111111I11111I111111111111III1II1I11111111111I1I1111111111111111 Directions: 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 (PloVSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW