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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner's Name V Owner's Address I 5 11~ Fee Simple Titleholder Namel 2~,t'-J,1I11S. ))t OWne, Ph.... Numbe, I Owner Phone Number I JOB ADDRESS Fee Simple Titleholder Address I I SCA.rY)~ I I LOT # I I PARCEL ID#ll I-~b - ~ 1-(x)fO -05~ 0' toO (OST AINED FROM PROPERTY TAX NOTICE) D NEWCONSTR D ADD/ALT ~D_~N 0 MOVE D D INSTALL D REPAIR """"lZ CJr PROPOSED USE D SFR D COMM D OTHER I TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL 0 DESCRIPTION OF WORK I flJ <;2.- r-crJf- - 6k'F s ) I ] Q-. BUILDING SIZE I I SQ FOOTAGE 16 HEIGHT I I \iiJ"'" ~~,~~:~~"""" i' ';)'~i;;':' ~...."'" ;~~~~;~~ ~~'~~~;: ~~~~;~~~;,~~""""""""""""""""" ,,:"" , D ELECTRICAL 1$ AMP SERVICE D PROGRESS ENER9Y D .C D PLUMBING 1$ q 739 D MECHANICAL 1$ D GAS ~ FINISHED FLOOR ELEVATIONS I SUBDIVISION WORK PROPOSED DEMOLISH OTHER I VALUATION OF MECHANICAL INSTALLATION ROOFING D I SPECIALTY D FLOOD ZONE AREA OTHER DYES IAINO I I I . I I ~ , , I , I . . . I I , . . I I . . . . I . . . I I . P , . 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 , , , r I , , I I I I I I I I . I I I I , , , I I I I I I I r p I I P , I I I I I I I I ~'~~":TURE ~~-=-~=-: - I ~':.~~...: ~ ~~~,flq)1 ~y I 1I111 ~I~~::~~IIII ~ ~ ~~I~III~I ~'I ~ III ~~f~~ttt:.~1 ;'I!~ 1111111111111111'11 ~:~:~~~I~I'I .I1~1 ~ ~ ~ ~~;~ 11111.' 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 Safely Page; (1) set of Energy Forms. R-Q-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. 111111111111111111111111111111111111111I1111111111111I111I1I111I1111111I111111111111111111I111111II11111111111111111111I11111111111111111111111111 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 Attomey (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) BUILDER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # ELECTRICIAN SIGNATURE COMPANY REGISTERED I Y / N FEE CURRENT Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address MECHANICAL I SIGNATURE Address I License # COMPANY REGISTERED Y/N FEE CURRENT Y/N License # Driveways-Not over Counter if on public roadways..needs ROW