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813- 780 -0020 City of Zephyrhills Permit Application Fax - 813- 780-0021 Building Department R �� ( Date Received ` 0- Q 1 r 9 I V � � � � � � 8 Phone Contact for Permitting 813 �t5Z -- d b 25 � Owner's Name KAREN ANt CA-AMU-LS -00 L_£ Owner Phone Number $13 / 3t Z - 6 Owner's Address 4#108 WtSTENIN DP-NE ( Z``�Ftyf_Ht►. 1S 133312 Owner Phone Number Fee Simple Titleholder Name SAME Owner Phone Number Fee Simple Titleholder Address SAME JOB ADDRESS 41c$ W ►STE9 3 )e.rtt., Z H1R.NN -1-S 1 L. 33-S4 . LOT# 27 SUBDIVISION W NtSv €ttr t, Di S PARCEL ID# IS - 2(0 -Z.1- o WO - - cal° (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR 1101P4 ADD /ALT Ti SIGN 1 1 MOVE 1 x J DEMOLISH — INSTALL 1111111 REPAIR PROPOSED USE I^ I SFR 1 COMM n OTHER ( I TYPE OF CONSTRUCTION ® BLOCK ( 1 FRAME J-J STEEL n OTHER ( 1 DESCRIPTION OF WORK ModE J��u)w+stu,M Wp, .,.5 AND ALutwwntuVI R c�r4 E.Xisrrlc. SI f rn►I) 1Ei>t.peE L.M 4 'Bwe.1. wNLLS kW) v O C . c D — t A . l i S S F • S 4 K 4 1 . . 0 0 1 . y . No Ext o0. t prt MoL FiNV ak BUILDING SIZE t 0 X a4 SQ FOOTAGE Z HEIGHT CD / WAt-LS BUILDING $ 10 % O5 .00 VALUATION OF TOTAL CONSTRUCTION F ELECTRICAL $ Nels‘. AMP SERVICE 15E1 PROGRESS ENERGY 1 W.R.E.C. J 1 PLUMBING $ MECHANICAL $ 140*- VALUATION OF MECHANICAL INSTALLATION 1 J GAS ® ROOFING I 1 SPECIALTY n OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES 12:1NO C XtS INGr .. / - BUILDER �- l f COMPANY �yMlpc+A CO�� 0 � ZK- SIGNATURE k9/3 REGISTERED l Y/ N 1 FEE CURRENT 1 Y/ N 1 Address I 3424l SP-- 34-, Zt.pN■fZNtI-L$ , V-L.. 33541 I License # ICam- 035 t3 Li- ELECTRICIAN �\ COMPANY SIGNATURE ," REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y / N 1 Address I 1 License # I PLUMBER N A COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT l Y/ N 1 Address I 1 License # 1 MECHANICAL N A COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 Address I 1 License # OTHER )1A COMPANY SIGNATURE `� REGISTERED 1 Y / N 1 FEE CURRENT 1 Y/ N I Address I 1 License # 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/ 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. ■ I 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 $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 (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW