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: 813- 780 -0020 City of Zephyrhills Permit Application Fax- 813 - 780 -0021 , . Building Department Date Received I (i7f =111 Phone Contact for Permitting • / II , - to., . Owner's Name yaw �� )1 0 , /� 4 - A 0 4 Owner Phone Number F7k i - , 6, ' Owner's Address IMO 7 t3// pg._ 3 3411( Owner Phone Number Fee Simple Titleholder Name --' Owner Phone Number Fee Simple Titleholder Address -- / it/Ca/wain �J JOB ADDRESS I 3 7 / 3. 6 /12.a- l / LOT* `j o .. 2... SUBDIVISION (:;149•11/41 T » i& PARCELID#1 W- py — otegn - 00 0 610 * 3v 1..e" (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR I ADD /ALT n SIGN n MOVE n DEMOLISH INSTALL REPAIR PROPOSED USE I SFR n COMM n OTHER I TYPE OF CONSTRUCTION I BLOCK Lye FRAME n STEEL n OTHER I I DESCRIPTION OF WORK pi( r O/x # (J)"YLP, . BUILDING SIZE , 6 1 SQ FOOTAGE /(J,--?‘? HEIGHT /3 i .:::::: BUILDING .................... .. ..................... OF TOTAL CONSTRUCTION ........................................................................ ............................... iv r ELECTRICAL I$ r O AMP VI r I� E ] PROGRESS ENERGY W. R.E.C. r PLUMBING 1$1i 0 00 IV 1 MECHANICAL $ Z'Z, Q7 VALUATION OF MECHANICAL INSTALLATION F GAS n ROOFING n SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES nNO SIGNATURE i ._. W ' / /, Daidy , SIGNATURE ! C OMPANY R Y/ N I FEE CURRENT I Y/ N I Address /� 1 / __- A. . '4 _ i /v. ' I / License# I "J0c) 7 ELECTRICIAN � / //J� / / / J � /) COMPANY / / /f/C - SIGNATURE (A )-0 It l ✓. r / /` j. ' (j�'lREGISTERED � L I Y / I FEE CURRENT I Y / N I Address IP L'iI. ter.^"., . ' _ /i . • GC�SJ� License # I& 1 30 0 / r2/ PLUMBER SIGNATURE�� . .__ COMPANY ',1 / /1\ ^ /jQ /�� T' - - 7 't - ----,1 --- ifGi3TERED ( Y / NI I FE ENT I Y / N I Addr - [n i/ � nF�r�L/11M / - License # rC2•::2 MECHANICAL : / with, '! COMPANY A • / ( // e(I SIGNATURE I %ice '/ _,..1. v - REGISTERED I Y/ N I FEE CUR Y/ N I • - ai Address //�� r // ry7y� -7 rj '+, m., tense # V `„ J 17 OTHER COMPANY I SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I Address 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 8 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 8 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 8 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 Attomey (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