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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 ql~loB Owner's Name ~ V\ \ '(\ ~ Owner's Address 1285 ~q Fee Simple Titleholder Namel \ \-\om~ 5-\n A\lL Owner Phone Number Owner Phone Number I Owner Phone Number I Date Received JOB ADDRESS Fee Simple Titleholder Address I I ~ty~q I s\-'t1 A\l c . 1--\\\ \\~ I ~L b':)5~a LOT # I NEW CONSTR CI ADD/ALT D INSTALL D REPAIR SFR D COMM D BLOCK D FRAME D ~un ;) \rdlv't:C u...X\~-Te..... Id\6 BUILDING SIZE I SQ FOOTAGE I I HEIGHT I 1111111'11111111'1"1111111111111'11111111111111111111111111111111111111'111111111111111111111111111'111111111'11111111111111111111'11111111111111 PARCELlD#1 SUBDIVISION WORK PROPOSED B D D (OBTAINED FROM PROPERTY TAX NOTICE) SIGN 0 MOVE D DEMOLISH PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK OTHER I D 1$ I 1$ I 1$ l'" 00_ eo I D MECHANICAL 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 111111111111111111111111111111111111111111111111II111111111111111111111111111111111111111111111111I1111111111I111111111111111111111111111111111111 BUILDING VALUATION OF TOTAL CONSTRUCTION D d PLUMBING ELECTRICAL AMP SERVICE D PROGRESS ENERGY D WR.E.C. VALUATION OF MECHANICAL INSTALLATION Y/N I I I I I I I I I I BUILDER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Address ELECTRICIAN I SIGNATURE , Address I PLUMBER ~ '" n nr\"--- SIGNATURE f\'_ }Q-^^-^.A. ..J ~ t).J ~"""-- Address ~.O~ox ~~ 'L-n\\b. ~L 3~5~q I License # COMPANY REGISTERED Y/ N FEE CURRENT Y/N COMPANY REGISTERED License # I IU€-(\f\\,,:) W, \ \\Ctrll"::> I ('Ci N I FEE CURRENT License # TnL I Y /N I I CR:.... 'L\d5{PD~ MECHANICAL SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N Address License # OTHER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address 111111111111111 RESIDENTIAL License # 111I111111111111111111111111111111I11111I11111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111 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 subdivisionsllarge projects 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 Attach (2) sets of Engineered Plans. "**PROPERTY SURVEY required for all NEW construction. COMMERCIAL SIGN PERMIT Di~~~ti~~~': 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 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 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 NC Fences (PJoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW