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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received 7<6' z.. (oq 3<6' .If / Owner's Name I Owner's Address I Fee Simple TitleholdElr Namel Fee Simple Titleholder Address JOB ADDRESS 3~ 03'5 j;""]ft\. ~e- SUBDIVISION I PARCEL 10#1 WORK PROPOSED B NEW CONSTR E3 ADD/ALT D INSTALL REPAIR PROPOSED USE D SFR D COMM D TYPE OF CONSTRUCTION D BLOCK D FRAME D / DESCRIPTION OF WORK I BUILDING SIZE I /4-;1).. 1- sa FO~AGE I :3 3 Go cp LOT # (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH OTHER STEEL I D OTHER I HEIGHT I I J I I 'J . . 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 , . I I I I . . I . I I I' 1$ -0-- I D ELECTRICAL 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 111111111"11111'1111111111111.11....'.'..1111"111111111'1'...........,.........111'."...........111111111IIIII.......'IIIIIIIIIIIIII'I.."!.,.. D BUILDING VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. ~S a.().<",",.en>~-& ~~ lPno 'S~ ~ . VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE COMPANY REGISTERED YI N FEE CURRENT License # Y/N FEE CURRENT License # YI N FEE CURRENT License # YI N FEE CURRENT License # YI N FEE CURRENT License # Y/N COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N Address OTHER I SIGNATURE Address 11111111111111111111111I1111111111111111111111111111111111111I1111I111111111111111111111111111111111111111111111I1I1111111111111111111111111111111 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 wI 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 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. 11111 1111111111111 J 111111111111111111111111111111111111111111111111111111111 J 111111111111111111 111111111111 1111111111 111111 1111111111111111 J III III Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (Ale 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 (PloUSurvey/Footage) COMPANY REGISTERED Y/N Driveways-Not over Counter if on public roadwaysooneeds ROW ;+- 1+ 7f ~ 3 .i (,