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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Jate Received Owner Phone Number 8 f. Owner Phone Number I Owner Phone Number I Owner's Name Owner's Address ,., / Fee Simple Titleholder Namel YZ-L:/1. I-fr;:;~,.o _ 2- die s Fee Simple Titleholder Address I 7os-o G7/9-Li M[~/d'. .z-//.lL~ I PARCEL 1D#1 D NEW CONSTR ~ ADD/ALT D D INSTALL U REPAIR PROPOSED USE D SFR D . COMM D OTHER I TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I DESCR~gFWORK I h;t!- uJ_,- eh".'n ..( IF''? &#I1~.A(~ ICrn Cl/uC<-...J BUILDING SIZE I I SQ FOOTAGE I I HEIGHT 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 . r . JOB ADDRESS LOT # SUBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH WORK PROPOSED 0 BUILDING 1$ ~ o?~4-). <!iCVALUATION OF TOTAL CONSTRUCTION1>L/ Lu () 0 ELECTRICAL 1$ ~ COV. €10 I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. 0 PLUMBING 1$ I f(fIl j)a.~ 0 MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION ~~VI' ~ 0 GAS D ROOFING D OTHER ~Jech1 c N FINISHED FLOOR ELEVATIONS DYES DNO BUILDER SIGNATURE COMPANY REGISTERED IStML<'t/\'1rO<4"d (1~hvl~f:k!_I//1?. l5~v'e.IL<; I I Y/ N~ECURRENT ! Y/N [- License # I~c /5/ .i.!0 9~ eted12/L. I FEE CURRENT ~GN O<h Add",,, [! () =- ,S::;:~~':". ~J ~rJ Address _ PLUMBER I SIGNATURE Address I MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE Address I o :1 , ~ ;.~::;;',: ,. I COMPANY I REGISTERED License # I Y /N I I [;~ 0000 'f8'b Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/N I I I I I I I I I COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N 1111111"11..,,1111,,.1111111,,11111,111111,111111,,11II1IIIIII1IIIIIIIIII1IIII11I1II1I11III11II1I1111I1IIII11",111111111,1111,11,11""1"",,,. 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 wi 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. 11II11II111II111II111111II11IIII111111111I11III1111111111III111II1111111111111111111I111I1I11111I1111I111111111I11I111111I1111111111111111II11II11 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 A1C Fences (Plol/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW