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813-780 -0020 City of Zephyrhills Permit Application wig Fax -813- 780 -0021 Building Department �/ , t Date Received 2 - 0 ' I Phone Contact for Permitting 352- Sb? 5143 Owner's Name f tOP% 12.0e, Lawrenct, . o ti'E, u►1L+M, Owner Phone Number gi 7 - 70$ k Owner's Address (0 Iy ��T-, Ze (' �� � P yr t S 26 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 6O2I 1y „Ze,11r{tt�IS 33S4Z c LOT# J4$ SUBDIVISION Ree_Se Mc/ d'1011 1 PARCEL ID# 02.- 2-1 — an-A - — CO g0 ,,��/// (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED R NEW CONSTR I yl ADD /ALT I I SIGN 1 I MOVE I I DEMOLISH INSTALL I�' REPAIR PROPOSED USE VI SFR 1 I COMM I OTHER TYPE OF CONSTRUCTION [ BLOCK n FRAME f n STEEL I I OTHER I / d ��s t r DESCRIPTION OF WORK �:ew.o&j ha ITO • ' . 14/a 6 RA roeµ [ 4 a roaw Oar 5 ; _ , _ . BUILDING SIZE SQ FOOTAGE i L-I 04 HEIGHT BUILDING $ In 72-0 i VALUATION OF TOTAL CONSTRUCTION 1 ELECTRICAL $ LIDO 00 AMP SERVICE I I PROGRESS ENERGY I I W.R.E.0 1 PLUMBING $ 2+-1 St, yp 0 / A � � I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 0 0 , �v I 1 GAS I I ROOFING-- - - - I SPECIALTY I I OTHER 5 FINISHED FLOOR ELEVATIO.. // FLOOD ZONE AREA I IYES 11; Tilly illilliiIP`""l . ........................_...................._................,._,............_.........::_,............,............ ...,..............:.........::: / ',,o � • 111 COMPANY -1 EC CO S 6 1.x. -�», BUILDER 1 ;= /�� •Oln,Si” SIGNATURE �� /i / REGISTERED 1 (y/ N I FEE CURRENT I or I Address PO.g01� /Wig t Z FL S3t -14 ' Li License # CB CD 3654` ELECTRIC) N /• , ��/ t I COMPANY .0 FI C_ +n L Gt1. 1.0 SIGNATURE - � P REGISTERED I (Y.) N 1 FEE CURRENT ^ 0 N 1 • Address 170, ••., 37 t�ceora -4 s 2 1}3 ' / License# E.C.j �I3$3 PLUMBER / �/, / c• COMPANY L-©� -T0.y A j "ilLn -.6(t S SIGNATURE ■, ` REGISTERED e2 I EE CURRENT 1 ID N � l Address 39 +4 1 1(Vl' • Av., J1WQ Cl3 345 License # CFC.. (4 Z1,03 i MECHANICAL COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I Address License # OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 Address License # :: : .. ........:.::::.::W::.:::::::: _..........._,::::. .:::: : 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 (PIot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW