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813-780 -0020 City of Zephyrhills Permit Application � / % F - 813 -780 -0021 Building Department 1 IO AP Date Received i0 ► 2 7— 0 Phone Contact for Permittin. -- 0 Owner's Name !!O - •27" alli J 1111.1111111111 e Owner Phone Number ,• e Owner's Address 34g3 2 .0 l 4 i Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address 69 JOB ADDRESS LOT # SUBDIVISION I PARCEL ID# 1/ - z"11"al 10 ' °2 ! p0' n / �" (OBTAINED FROM PROPERTY TAX NOTICE) a WORK PROPOSED 1111. NEW CONSTR ADD /ALT I I SIGN n MOVE I 1 DEMOLISH F INSTALL REPAIR b PROPOSED USE I I SFR 1 I COMM 1 1 OTHER I TYPE OF CONSTRUCTION /� BLOCK I I FRAME 1 1 STEEL 1 OTHER 1 p DESCRIPTION OF WORK /4 c ‘60V c E" " '" e Opt, BUILDING SIZE SQ FOOTAGE HEIGHT I 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. I 1 PLUMBING $ e• p< MECHANICAL $ 3 43t VALUATION OF MECHANICAL INSTALLATION jj�� r I I GAS I I ROOFING I I SPECIALTY I 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address License # I ELECTRICIAN COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y / N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y / N I Address License # R MECHANIC r COMPAN7 A I — TaG, Ave, l �/ c__ . SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I Address 13 E d l y) /62 47 Mil/C e /64, 1 / 335 License # 6 4 - CM / l it C/ b OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 Address License # 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) 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 all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. * ** *PROPERTY SURVEY required for all NEW construction. 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 (PIot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW