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813-'I780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 ` '� Building Department _ I Date Receive� /� �� Phone Contact for Permitting O�� ` �� � Owner's Na Ile � � Q cs r-. � Owner Phone Number �� "�1 . � �7 lv 0 � Owner's Address I a6D��le �e �^ f�✓' Tc.iyrJc,3� 3`,Owner Phohe Number Fee Simple Tl�tleholder Name �.,� 'L Owner Phone Number i � ; ' Fee Simple I�tleholder Address JOB ADDRESS �G` �� 0 ��`r�'i � ��1 n� �`'�' LOT# � � suBoivisio I s�1 �er'� �O ' PARCELID# � y'a��-�/- C5p7��06J Do --d��D . (OBTAINED FROM PROPERTY TAX NOTICE) � WORK PRO OSED NEW CONSTR ADD/ALT � SIGN Q � DEMOLISH INSTALL e REPAIR PROPOSED SE �� SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL 0 - DESCRIPTIO OF WORK r�� 5��c�'Gr�s�-S l, P�S�c��C� � ��c�� b�'�"'� I"`�{�`'•. BUILDING SIZE SQ FOOTAGE �$��+ �� HEIGHT , �BUIILDING $ , rrr �p5, �('jg� VALUATIONOFTOTALCONSTRUCTION J�� �ELECTRICAL $ h��ae d� AMP SERVICE J�� PROGRESS ENERGY � W.R.E.C. s �PL MBING $ � �d' I � ( � I � �e � �M CHANICAL $ ��. .c � VALUATION OF MECHANICAL INSTALLATION _ n� Z�V�' ��.`'l!"� - , �G S Q� ROOFING Q SPEC OTHER r��j �`��5�� FINISHED F�OOR ELEVATIONS ��n s� FLOOD ZONE AREA �YES NO ' / o -a-�E-��f�1-�1-1--F-1-1--1-a-�-1--i-E-1-1-1--1-a-�-�1-F��1-� 1--��f-�1-�f-1-��1--1-1-1--1--0-'�-��C��-7--r�{--F�1--1- BUILDER � �� COMPANY �� T - �c��C�''� �f'�-C SIGNATURE REGISTERED Y/ N FEE CURRE� Y[N Addres ��6�01 �'C��CO!s7 ,�r' J/1'� C c License# ��C-�� 2 ELECTRICIA �� COMPANY �C�' fY1O��n ��'��-`L-r i L SIGNATURE REGISTERED Y/ N F E E C U R R E� Y 7 N ' Address ( �� 5 t�� r ��G M �- License# ��d 3�� a� PLUMBER � y� COMPANY l�d/"/'1 �l'S"1�B /i •�-�Q"'t.�S, �IGNATURE� �� `� REGISTERED Y/ N FEE CURRE� Y/N Addres I '�$y�p �� v� LG� License# V�C ��2�d� SIGNATURE�L �� COMPANY �Y�D rcS�i ��e. �l i r�y S-E-C� f REGISTERED Y/ N FEE CURRE� Y/N Address 5�"JD`� �S'/�jc/�'f. ��-,�T L��r_ License# � 'C.Q- � OTHER � ��,_ COMPANY I� 1 ��Crr'� �� n SIGNATURE� REGISTERED Y/ N FEE CURRE� Y/N Address �� f �``-�1' .S f' ��vz � License# C,C �.�� r ' Illlllillllllllllllllllllllllllllllllllll, llllllllllllllllll` 111111111 RESIDENTIAL Attach (2) Plot Plans; (2)sets of 8uilding Plans; (7)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/la!ge projects COMMERCIIaL 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 subinittal date. Required onsite,Construction Plans,Stormwater Plans v✓/Sflt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ail commercial requirements must meet compliance SIGN PERMIT Attach (2j sets of Engineered Plans. _ ' ****PROPERTY SURVEY required for all NEW construction. -•:--:-C--:-�4.1--f-1-I��f-1--f-1--1-�4-1--{-' •.-+�C-'-:-La--i-1--1--1-1--1--i-1�1--1-1..1..1�1..��1--1-�1--1--4-1..4�1--1-1-.'�' '.�' L-i�l--4- Directions: II Fill out application completely. � Owner 8�Contractor sign back of application,notariied � ' • • ' '•' � If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) ** Ageht(f�or the contractor)or Ppwer of Attorney(for the owner)would be someone with notarized letter from owner authorizing;same OVER THE CIOUNTER PERMITTING (copy of contract required) Reroofs if shmgles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Drivew lys-Not over Counter if on public roadways..needs ROW , � � ',