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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner's Name Owner's Address Fee Simple Titleholder Namel Fee Simple Titleholder Address I sJ- r-f/rr JOB ADDRESS ~80/ Co i"L.. ~ J- LOT # PARCEL ID#I / / -;;J-(p -:J./ - DOll) - OJ/oD ' /),(J "/ /) (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D D D D tv / 4-'t< C) J .s.:fo{)-o , " I HEIGHT I B PROPOSED USE D TYPE OF CONSTRUCTION D DESCRIPTION OF WORK I -s~ BUILDING SIZE ~ " I . I IIIII 1 I . . , n II 1 It I , 1111111 I II . , I 1111111 11111111 n 111111111 111111111 ,. r , 111111 , " 11111111 IIIIII " I , 111111111 , . IIIII I , 11111111 H III1III , I . I 1111 1$ 1. 59(0. qI2 1$ 1$ D MECHANICAL 1$ D GAS D FINISHED FLOOR ELEVATIONS I SUBDIVISION I B D D ADD/ALT REPAIR COMM FRAME WORK PROPOSED NEW CONSTR INSTALL SFR BLOCK ~ A-t Y1 () 1J rrttl"A./"-J sa FOOTAGE I D D o BUILDING DEMOLISH OTHER STEEL I D OTHER I ELECTRICAL AMP SERVICE VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY PLUMBING D D W,R.E,C. VALUATION OF MECHANICAL INSTALLATION tJov/ License # 1111I11111111111I1111111111111111I111111111I111111111I11111I11111111111111111111111111111111111111111111111111111111111I1111111111 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 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. ROOFING D I SPECIALTY D FLOOD ZONE AREA BUILDER SIGNATURE Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Address PLUMBER SIGNATURE COMPANY REGISTERED Address MECHANICAL SIGNATURE COMPANY REGISTERED Address OTHER SIGNATURE COMPANY REGISTERED Address 111111111111111 RESIDENTIAL COMMERCIAL SIGN PERMIT OTHER DYES DNO Ir~ Y/N -fC~~~NTf~~ I License # I c$c 0 S96' / 7 Y/ N FEE CURRENT License # Y/N FEE CURRENT License # Y / N FEE CURRENT License # Y / N FEE CURRENT Y/N Y/N Y/N Y/N DI~~~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 . . . 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