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i 813-1780-0020 City of Zephyrhills P�rmit Application Fax-813-780-0021 Building Department � Date Receivetl �jQ � ��Tr�_� �l �� Phone Contact for Permitting ;j � ��- l�� i ✓� � p Owner's Namle r� �a a � C Owner Phone Number ��. � �7�v p i , Owner's Address �a6�a�C�e �e �'r' �f �c-�j/Jc.37 3�Owner Phohe Number � Fee Simple T tleholder Name �,rr � Owner Phone Number ! • Fee Simple TI tleholder Address JOB ADDRESS ��o Q�o� ��+`1�� s°+[ /':.�� .� L:OT#� �� SUBDIVISIO �1�� 1,G("� �(p PARCELID# dy'��v�� d�� 'U�� O-- ��C� • (OBTAINED FROM.P,ROPERTYTAX NOTICE) WORK PROPOSED �NEW CONSTR e ADD/ALT � SIGN Q � DEMOLISH INSTALL REPAIR PROPOSED I SE �� SFR Q COMM � OTHER TYPE OF CO STRUCTION � BLOCK Q FRAME 0 STEEL 0 DESCRIPTIO OF WORK n�� 5��c-�'�n,-� �, I=eS��c�Ct � ��,R�j I2c�-�-� I-�J,o�-� /Gy`).4�+'.�..- BUILDING Sli E S�FOOTAGE ��--/o �/ HEIGHT ` �-r-�-r' i rrrrr�- �� �BU LDING $ `D�� VALUATION OF TOTAL CONSTRUCTION �� �ELECTRICAL $ ��. Qya AMP SERVICE � PROGRESS ENERGY � W.R.E.C. OPLI MBING $ �m �` � q� �� OM CHANICAL $ - /�� VALUATION OF MECHANICAL INSTALLATION • �' �'7 OGAIS � ROOFING � SPECIALTY OTHER �� FINISHED F OOR ELEVATIONS �� FLOOD ZON ARE �YES NO �y��LG��f SZ�= �d�o ' ��1TT��TT��lTr� ��TO�W ■ • � ITT� BUILDER � � �� COMPANY �� T� , ��.-�d-G� �f'�-C SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � Addres ��ra�7�C��'CO/� ,/7 r' )M � License# ��C-��`��G� `,.� ELECTRICIA � COMPANY ��✓1 MO��pn ��'�'-C'L�r'� � SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N Addres + v� �-� 5'Li j��l' ��G�.. c'. License# �� a g PLUMBER � y� COMPANY (.,��/"/'1 �/'�''y"� /l � �'�ds � SIGNATURE �� `� REGISTERED Y/ N FEE CURRE� Y/N Addres I ��y�p �(,Q �() f � �v� LGL License# v FC }�f;��, � MECHANICA �� COMPANY �r0 r�5v i v� �i r�y s-�m r SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Addres 5�� css�j c/�'f, ��..�-�f L�+r_ License# V �.�� OTHER ��_ COMPANY I'/ 1 �L Crr'f� �aQ�n SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Addres �� f d ''f1' .�f' ��:n � License# C� c,.�.�.� ] �r � �'-. 111111; 1111111111111111111111111111111111111111111111111111111111111�, 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(2)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 vJ/Silt Fence installed, � Sanitary Facilities&1 dumpster.Site Work Permit for-all new projects.All commercial requirements must meet compliance SIGN PERMI7' Attach (2j sets of Engineered Plans. ****PROPERTY SUFIVEY required for all NEW construction. �-:--:�-1..1--1-4.1--1-1-.1--L-1-.1--4-1--1-.i�1-��1--1-�-1-.1--E-1--1..1�1-.1--1-1-.1..1.e1--1-��1..1-1.-1--1.-1-.1--4�1-.1--S-L• • • 1--1--4-1..1.. Directions: I Fill out a plication completely. Owner 8�Contractor sign back of application,notarized � -- ' ' • If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) ** Agent(fqr the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing;same OVER THE C�OUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) ' Drivew�ys-Not over Counter if on public roadways..needs ROW _ " ' , , ,