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813- 780 -0020 City of Zephyrhills Permit Application Fax - 813 - 780 - 00 21 Building Department q �� Date Received t( q O f () V Phone Contact for Permitting I (137 - - 32 tEEE EEEEEEEttatlt€EEE gattftk.: P. a,.... 9 i., ? : : : : :i,.....a ,.: :... , • .... r: , i tn....': : : :: . . am :r ^ .... .: ,7. : , : - . ,... ..... .. . :: :... Owner's Name Loy Ise C 0 R,& Owner Phone Number 11 3 -' -7 7 2 2 - g 124 Owner's Address 53 010 IB t" J Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address r JOB ADDRESS 5300 14)-w\ CV LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN I I MOVE I I DEMOLISH INSTALL REPAIR PROPOSED USE I SFR I I COMM I I OTHER I TYPE OF CONSTRUCTION I ( S I C BLOCK I I FRAME ( r I STEEL r t 1 n 6 I ,, OTHER �� I DESCRIPTION OF WORK 1 r lSkII(#1 t� V t V t Q Low d (itat7e. {PvizG ak. WLN-r` -Y �E BUILDING SIZE SQ FOOTAGE HEIGHT tE €EEffff€itth tEttt€gtt€€f €Ettt €€Ef# E€t€€(# EEt€EEtEEEtttttltt €€g ftt t € €f € EEE€ttt€ tEE #€ €Egitfftgfftittgift4NtllIttlfg€€ ffff EtttEt€lt €Etit€Ett€ g€t € €EIttatt€Ett BUILDING $ VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $19.00 AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C, I 1 PLUMBING $ I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I I GAS I 1 ROOFING I I SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES ONO ff ..a :S •.: . . . .. ...: .. : : ::":•:.'i1 ..... .. .. .. •:•::: . a.. C. 0.:.::a::... :L. : —• 7777 : :' ;I:. : :: :.:: .3 ... :: ..... €i�€€t�titt€t€t€tt�E� €7777: : : ?3 ... r.: •^.3 ...: 3::.: • 3i pi, ' .. : e• : ... .. ... ..... .. BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # ELECTRICIAN ,„ ..---- � / . � � V COMPANY P i o nb ae Sec i t t t L G SIGNATURE L REGISTERED 1 Y/ N I FEE CURRENT 1 Y / N 1 t Address AO S &VIDttit -le t.- °WW NI "•405q License# I a00,332 PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I Address License # OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I Address L License # €€� 7 7 77: € : ? :.... 7 77 ........ 7 :: ..... :lii :tii: .....: ::........ ...... : :•• ...... .... ..... EEf€ .. ::: • . .... .... .... ,., :.. .... . :..............: .. . . : . 7277::::: . 1:7: Hai if 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. IlliVERWRIMMEMERMWErifitiMEIEREMPl." ......€'... '. ; . MEMITIMMEMEMEMMEEMISEMOMMIMMEMEMMHIMEMMENTEMMIIIMME 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 (PlotSurvey /Footage) Driveways -Not over Counter if on public roadways. needs ROW