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813-780-0020 City of Zephyrhills Permit Application , Building Department . Fax-813-780-0021 if 7855' Owner's Name 13 LJ IIJT e-1k8. 137 S .7.) ~7 /4:-1 Date Received Owner's Address Fee Simple Titleholder Namel ~LJ Fee Simple Titleholder Address I 9S6[ JOB ADDRESS 3 7 :l:s~ DESCRIPTION OF WORK (il D D 17' NEW CONSTR INSTALL SFR BLOCK ADD/All REPAIR COMM FRAME I LOT# I PARCEL 10#1 10 - 2h -- U ... 00/0 -9 /2!3cm ~7 0 (OBTAINED FROM PROPERTY TAX NOTICE) D SIGN D MOVE D D D ...... L/Vlt. ~JLL .J>-r-- lL2- 5:'y ~ I E3 ~ CJ CHA-iV DEMOLISH SUBDIVISION WORK PROPOSED 7' > JZlyL(. I I r{,/LL-I PROPOSED USE TYPE OF CONSTRUCTION OTHER STEEL I D nJ OTHER I OLD SQ FOOTAGE I BUILDING SIZE HEIGHT 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 r . I . . . . . . . . . I . , I , , . . . . D BUILDING 1$ 3 oC) , t)O I VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL 1$ I AMP SERVICE CJ PROGRESS ENERGY D W.R.E.C D PLUMBING 1$ I D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION D GAS D ROOFING CJ SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO '1111111"11"""""1"1111111"""""""1'1"'1'111111"111""""1111111111,..,,"'111""""1111"11111""'1.'11""'1'111,.""","11 BUILDER SIGNATURE Ilu!k-1-~ I ---- COMPANY REGISTERED Y/N FEE CURRENT License # Y / N FEE CURRENT License # Y/N FEE CURRENT License # Y / N FEE CURRENT License # Y/N FEE CURRENT License # Y/N COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE COMPANY REGISTERED Y /N I. Address OTHER SIGNATURE COMPANY REGISTERED Y/N Address 111II1111111111 11111111111111111111111111I11111111111111111111111111111I1111111111111111111111111111111111111111111111111111111I111111111I1111111 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. 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW