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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 NEW CONSTR INSTAll SFR BLOCK I B o o a-rI /iI-I diJ PARCEL ID#I J $ . .3Sjj off L~! ~O ~ -+- ii:) 9 us - c).~ -(:;.-/ - () / ~ - oanJ - lOti / (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH Fee Simple Titleholder Address SUBDIVISION I w G..-/N. (bf dOte ISf/Vir rJ~iY pA- J 19 PROPOSED USE D TYPE OF CONSTRUCTION D DESCRIPTION OF WORK I JOB ADDRESS WORK PROPOSED ADD/Al T REPAIR COMM FRAME D D D OTHER I STEEL D OTHER I BUILDING SIZE I 1" . . 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 II I I . . . . . . I I I I I . I . . . . . I I . I . , .,. I . . . . . . , . I . . I . . I . r()(}/I) /(j'Ylr!}..-' sa FOOTAGE I /~/~ HEIGHT I E1J BUilDING 1$ [$J ELECTRICAL 1$ D PLUMBING 1$ D MECHANICAL 1$ D GAS 0 FINISHED FLOOR ELEVATIONS I ROOFING I I I I o I AMP SERVICE rn PROGRESS ENERGY D W.R.E.C 9/ /'12. SO 70o.cp VALUATION OF TOTAL CONSTRUCTION PASCO PERMIT SERVICE (813) 788-5314 VALUATION OF MECHANICAL INSTAlLATIO'*AX 1-866-824-7894 SPECIALTY 0 OTHER FLOOD ZONE AREA DYES DNO Address . CL /Jevl/u;i (,ljfj() J:brf b/J ~LtLc~ /kiwi) III I tl7 Id~ vf. Oa..~ ~ I &-,,? I' If ~kR1. I Y / N I FEE CURRENT ELECTRICIAN SIGNATURE COMPANY REGISTERED l/J7a/',L{~ I Y / N I ...I:A ~ . I Y /N I License # I CI3CO~O 77 ? fte/l'~ BUILDER SIGNATURE FEE CURRENT I Y /N I I ECC" IJcJ:J/JI'..J Address Fl. License # COMPANY REGISTERED PLUMBER SIGNATURE Y / N FEE CURRENT Y/N Address License # COMPANY REGISTERED MECHANICAL SIGNATURE Y / N FEE CURRENT Y/N Address License # COMPANY REGISTERED OTHER SIGNATURE Y/ N FEE CURRENT Y/N Address License # 11I1111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111II111111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Pians; (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 subdivisionsllarge 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 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. 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 i 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 AlC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW