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.------- 813 - 780-0020• ( 4 ( 2 City of Zephyrhills Permit Application %'' F 813- 760 -0021 r , Building Department U Date Received , r • y Phone Contact for Permitting �' /' - q7 / ✓ Owner's Name nnear ;en O Y Owner Phone Number 8/3 7/ 9. 9 W3 owner's Address 1 5 i 5 l� lover 1 . ge fl e 1 oh 4 © Owner Phone Number Fee Simple Titleholder Name! 1 S Owner Phone Number Fee Simple Titleholder Address I `` r j ck v.) C'A l / [/,�' I JOB ADDRESS 10 0 6 I Pr, /)r /r- LOT# I / / // 7 SUBDIVISION Zep I4 r R i / e' I 77 // PARCEL ID# 03 A& - a/ _ 0 /30 �l4oUU -" U YY I (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR I ADD /ALT I SIGN I MOVE 1 1 DEMOLISH INSTALL M r 14. REPAIR PROPOSED USE n SFR 1 COMM I—I OTHER I I TYPE OF CONSTRUCTION Q BLOCK I I FRAME ED STEEL 1 OTHER I I ` DESCRIPTION OF WORK Mph/ l e J- -p BUILDING SIZE I 30-X L I o SQ FOOTAGE I 1536 HEIGHT I 1 In BUILDING $ , 3 Z7Dr U VALUATION OF TOTAL CONSTRUCTION FA ELECTRICAL $ 5 ©d , ®V I AMP SERVICE 0 /00 I PROGRESS ENERGY Iji W.R. E.C. t( PLUMBING $ f' A d U i 1 MECHANICAL S 500 Ad VALUATION OF MECHANICAL INSTALLATION r I GAS I ROOFING ni SPECIALTY I 1 OTHER FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA I IVES I BUILDER 49,. v l') / � - 6 - 3 COMP i r rCC {'? S, _ VI SIGNATURE ` t REGISTERED ® FEE CURRENT ' t - .410. " - ' Address I W / Y om ( � . l 1 License # I 0 - ve 0 9'4, 1 ELECTRICIAN ��" ` COMPANY N /U Al i/ C rSrv/ I C FS SIGNATURE REGISTERED Y / N I FEE CURRENT 1 Y / N Address r..;Z ifA 0 8ro ok's Si--, f 'e /a,2GC I3 o3 License # ! �.e ac7 2 7 PLUMB / / COMPANY 6 &IV' /r6 n5 o r7 t �� SIGNATURE V/ Z (! ' REGISTERED MEM FEE CURRENT NUM Address I Wi'r'e Rd. License ft 1 .Yy©oed y'4, ,'�o MECHANICAL COMPANY I a // / G v, 5er- es' pl SIGNATURE �C.C/ t7 � i" REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 / V Address 1 X 34:0 gooks S/ 62 -ke /o nwf 333Q 3 License ft I CA' /f v93/ 1 OTHER COMPANY SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT I Y/ N I Address I I I License # I I 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 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 w/ Sift 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 ail NEW construction. Fill out application completely_ Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (MC 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 A/C Fences (Plot/Survey /Footage) Driveways - Not over Counter if on public roadways..needs ROW