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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name ~'E:.P\4'(R COMMoJ..s L LC- Owner'sAddress 13lo2. 9 ~ LAIIlE'/11'A( Fi53'/5 Fee Simple Titleholder Namel Fee Simple Titleholder Address I "1150 WORK PROPOSED ~ D D G^'l '.~V!) I B D D 1'2.0\111) e f.oO A M.P SQ FOOTAGE I LOT # JOB ADDRESS SUBDIVISION PARCEL ID#I (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK ADD/ALT REPAIR COMM FRAME OTHER STEEL OTHER I BUILDING SIZE DESCRIPTION OF WORK ~ol\t~ 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 . I I . . . . If' I . I I . . . . . . . . . . . I D BUILDING 1$ 1$ :5:00 D PLUMBING 1$ I D MECHANICAL 1$ 1 D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 1"""""""'111"""'1"""""'1""111""'11'""""""11"""'11""'1""11111111"""1'111"""1"111"'1111""1'111""""'111 ~ ELECTRICAL I fc{J AMP SERVICE VALUATION OF TOTAL CONSTRUCTION ~ PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION BUILDER I SIGNATURE Address I ELECTRICIAN I~ SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N COMPANY REGISTERED License # I I Mt ~b~ (;l~CAl ~'f.6.1jk. I Y / N I FEE CURRENT I Y / N I License # I EC \ ~DO \ 189 Address PLUMBER SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT License # Y/N FEE CURRENT License # Y/ N FEE CURRENT License # YIN Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address OTHER SIGNATURE COMPANY REGISTERED Y/N Address 111111111111111 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 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. I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111'1111111111111111 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A1C 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 Ale Fences (Plot/Survey/Footage) Driveways-Not over Counter if.on public roadways..needs ROW