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813-780-0020 City of Zephyrhills Pe`mit Application Fax-813-780-0021 Building Department Date Received 0? • �� Phone Contact for Permitting Owner's Name . CS;^ -a, r-. Owner Phone Number f s-L/ c�7 fJ Owners Address Owner Phone Number L Fee Simple Titleholder Name Sri: Owner Phone Number Fee Simple Titleholder Aid-dress JOB ADDRESS n -{� LOT# .SUBDIVISION �� PARCELiD (OBTAINED FROM PROPERTY TAX NOTICE) ; W014K PROPOSED NEW CONSTR ADD/ALT SIGN Q DEMOLISH INSTALL_ 8 REPAIR PROPOSED USE Of SFR COMM OTHER TYPE OF CONSTRUCTION " �� BLOCK 0 FRAME STEEL . DESCRIPTION OF WORK �''t />��G ��rill_ e. 6,-r I` )- BUILDING SIZE SQ FOOTAGE � HEIGHT 'T'e"rrx-r•v-i-r-s-'-Irr-rr -i-t"i-r-rmr�rrrr'r'r �r-r-Q-Ir�r-t-r�--e-r-' -re-s-I-a��-'e"e�t-c-4 a a-e-e-'a��'e-x� =BUILDING $ VALUATION OF TOTAL CONSTRUCTION 0ELECTRICAL Is AMP SERVICE -PROGRESS ENERGY W.R.E.C. , =PLUMBING $ i u � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION . SUMO =GAS 0 ROOFING Q SPECIALTY OTHER FINISHED FLOOR ELEVATIONS ,� . FLOOD ZONE AREA DYES NO --4-6-4-i-�a-E-i•-ii-C-•i•-S--F-a-M1-C-i--i�4..r.-1'-�-'�-"1-��F-p--&-➢-•G-I-F-�-1-➢-I--l-'tea-v'�6�d�1--u�'-1--1�•6-'v-E-•➢-°v-:-6-a�s�4y$�um;'.sz�l•-4•-$-4'-➢-•d•-• BUILDER COMPANY r` - -)c) "t `c's''-� f 1 SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address %.� �� '<i�.m r^ 1Grt� License# ELECTRICIAN �� -,/��- COMPANY4�6 SIGNATURE ," REGISTERED FEE CURREEN Y/N Address ,ate License# ( �• � r. r� PLUMBER COMPANY .SIGNATURE REGISTERED Y/ N FEE CURREN ^ sY�/_N,/,r � Address 7'��iQ�, F.�,�+ 'tl. iaf ` License# MECHANICAL COMPANY SIGNATURE f�-' "'� ---REGISTERED Y I N FEE CURAEN Y/N Address • J'702 License#' CAL-0,�?;5 6 15 OTHER. Y COMPANY t r SIGNATURE REGISTERED Y/ N FEE CURRER Y/N Address License# ---'� 1111liilililiilllilllilltlili111iii11111l111l1i ! lldll1ll18IB11 ➢ 1 ➢ ➢ 1 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/Siit•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 aftevsubmittal 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. •f-8.-6.-1.-8�.4-0-.•b-l--t•-f-1�-1•.•1-I--{_i�sa--1-tS-1-E•.i.-1-.S-d--1'-C.-S.-E-.l-.d-.6-b-,1-1!•--➢-�-i-•9..•A-.➢ •&-4•-6.�•-9e6--0-9�.1�.�..&-➢-E.-A.mll..�.-Im.➢�•�-5-.1i-�..8..5�6..• � Directions: Fill out application completely. Owner�Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) ** 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 (copy of contract required) Reroofs if shingles " Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways-Nat over Counter if on public roadways..needs ROW