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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Owner's Name \f 0 C 0 Owner's Address I.-;J f :J I t' Fee Simple Tltlehold~r Namel e I'll )/ '-c r.t;.-Y\ '- / 'f-) .If;~ L ~ 11'1; Is I I Date Received Fee Simple Titleholder Address I I I 7?f-:> /0 Lj-l ~ ./!.v I B o o -z - flJ 'I/.J LOT # JOB ADDRESS SUBDIVISION PARCEL ID#I (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE 0 DEMOLISH WORK PROPOSED NEW CONSTR INSTALL ADD/ALT REPAIR COMM FRAME o D D BUILDING SIZE I SQ FOOTAGE I HEIGHT I .'..........11...1111..11.......11...11.....111.......................111.....11...111...11'..1111...'...11....111.11........,....,,'...,............. B D D I SFR BLOCK OTHER I STEEL D PROPOSED USE TYPE OF CONSTRUCTION OTHER I DESCRIPTION OF WORK 0 BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION 0 ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY D W.RE.C. 0 PLUMBING 1$ I 0 MECHANICAL 1$ ~jtrtH I VALUATION OF MECHANICAL INSTALLATION , 0 GAS D ROOFING 0 SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO I I t t I , . . I I . I . . I I I . . . I I I . . I I I , , I . . I I . . . . . I t I I I . , . . . . I , , . , . . . . , . . . I , 1 1 , . I . I 1 1 , . . . . I 1 I I I . 1 I I I I . . I I . . , , . I . I I , , r . . It' r I . I I . . . , , I I I I . , , . . . I . . . , . , I , . . I I ~ BUILDER COMPANY SIGNATURE ~EGISTERED Y/N FEE CURRENT Y/N Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/N FEE CURRENT Y/N Address License # PLUMBER COMPANY SIGNATURE REGISTERED Y / N FEE CURRENT Y/N Address License # I MECHANICAL ~J- ~~ SIGNATURE Y / N FEE CURRENT I Y / ~ Address License # I OTHER COMPANY SIGNATURE REGISTERED Y/N FEE CURRENT Y/N Address License # 1111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111 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 onsile, 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. 1I1111111111111111111111111111111111111111111111111111111I1111111111111I111111111111111111111111111I111I11111111111111111111111111111111I111111111 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 (PlotJSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW