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813-780-G020 City of Zephyrhills Permit Application 1 Fax- 813 -780 -0021 i Building Department ! a tom/ 7 sb, Ff /211//0962;32„,A 2 /14'. ✓9Z Date Received . . 0 Phone Contact for Permitting Q 4/0 -- Owner's Name z ee#YA Goof i' //GC- ' Owner Phone Numbe I T'3J s -et Z!j Owner's Address 3 6t /t1 ,4D ✓ - u� 0 / I 4 i 3 314 Owner Phone Number `! Fee Simple Titleholder Name 54-Ale Owner Phone Number Fee Simple Titleholder Addres 'AMC JOB ADDRESS G 1.‘..N. b` V L' LOT # SUBDIVISION PARCEL ID# 35 s v/ - 000 - 0 000(7 - D /y (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED II NEW CONSTR ADD /ALT I I SIGN I I MOVE I I DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR - COMM I I OTHER 1 I TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL n OTHER I I DESCRIPTION OF WORK /4d 7 o5 ` _ ,,„, "" BUILDING SIZE SQFOOTAG- .,— ., s: T # HEIGHT V BUILDING $ VALUATION OF TOTAL CONSTRUCTION L 1 ELECTRICAL $ ---, AMP SERVICE fc a► PROGRES §ENE Y W.R.E.C. i I PLUMBING $ ^ V `��!/( A 6 t. MECHANICAL $ / / 4 O VALUATION OF MECHANICAL INSTALLATION I I GAS I I ROOFING 1 1 SPECIALTY I 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES LINO BUILDER —�,, P.: ''''4, `t &4'b & ` VIIA SIGNATURE Al — _ , k .. REGISTERED I Y / N I FEE CURRENT ' I Y / N I Address iA Ab\ \' \'■K"tr`4'1" 4 1 :Ntvi \q, 3)164 License # \IC + &Z.-Vt.-L:3 ELECTRICIAN Ay ,: ''•;; .: - !!' `'COMPANY r 7 e r (4' 5 fAJ''r' ) REGISTERED / N FEE CURR SIGNATURE � I I Y/ N I Address 1 !, 0 01 42 — //e (AU - , '4 License # 'EC. C 130o 3,s i ., , ,,, T C OMP J PLUMBER ANY koy se/a/em/gn w .4, a'/°�" /__ . SIGNATURE I / 1 REGISTERED I Y/ N I FEE CURRENT Y/ N Address lis 41-1 m Lame j Me 40 � •`,3 e License # eP 2 - 1(-27 MECHANICAL 2; ® COMPANY D �� / `N I � EECURRENT I Y / N I SIGNATU �,. _J''v` \kii)k Address / 462 .. - _-_%' S',__! ai/ - i 1/ /I License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I 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) 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. - - 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 A/C Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW