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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 Tltleholde, Ad~~ JOB ADDRESS I 95 . I Owner Phone Number Owner Phone Number I Owner Phone Number I LOT# I SUBDIVISION 0-th Ave- I B o o lc.Y'cu1/)Q ()t d. 1}1~ SQ FOOTAGE I PARCELID#I \;1 -(1~-::J\ - O~OO-~O-0I60 (OBTA'NED FROM PROPERTY TAX NOT'CE) D SIGN 0 MOVE D D D lui l-\- I WORK PROPOSED @ D D NEW CONSTR INSTALL SFR BLOCK ADD/ALT REPAIR COMM FRAME PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK DEMOLISH OTHER I ' STEEL 0 OTHER I HEIGHT I BUILDING SIZE I 111111111'11111111111111111"1111"111"11111111111111111111'1'11'1'11111"'1111111'11'1'1111"'-'11111"'"11111"1111111111111111111111111111111 1$ I 1$ I 1$ I ~5.~1 D GAS D ROOFING 0 SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO " 111111111111111111111111111111111111111111 ! 1111111111I111111I1111I111111 " 111111111I111 " 11111111111111111111111111111111111 " 111111111111111111 ::::~~RE I ;.:~::~': I Y I N FEE CURRENT Y I N I I I I I I I D BUILDING D ELECTRICAL D PLUMBING ~ MECHANICAL AMP SERVICE VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY o D W,R.E,C. VALUATION OF MECHANICAL INSTALLATION Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Address PLUMBER SIGNATURE COMPANY REGISTERED Address MECHANICAL SIGNATURE Address ~ S OTHER SIGNATURE COMPANY REGISTERED License # Y/N Y/N FEE CURRENT License # Y/N Y/N FEE CURRENT License # Lcnf''S' Y/ N I A I c. Ciz>rnQ)..() ~ FEE CURRENT r Y / N I License # FEE CURRENT Address License # I" 11111 " 1I111 " " " I " 1111 " 1111111 " 1111111111111111111111111111111111111111111111111111111 " 1111111111111111111111 " 11111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-W Permit for new construction, Minimum ten (10) working days after submittal date, Required onslte, Construction Plans, Stormwater Plans w/ Silt Fence Installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdlvlslonsllarge projects COMMERCIAL 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 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. iil~~~ii~~~': . . . 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 requtred, (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