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813 - 780-0020 City of Zephyrhills Permit Application Fax - 813 -780 -0021 Building Department p Date Received 1 5_a--).._ O G 1 Phone Contact for Permitting t () LLL ! 1– 1 0 5 6 7 Owner's Name 11 ' ` Ave Owner Phone Number 4 01 - 0 105 ' 10021 Owners Address I 711 N Or 14-as kf l( V e 1 Owner Phone Number Fee Simple Titleholder Name' 1 P I Owner Phone Number I Fee Simple Titleholder Address JOB ADDRESS 3 8 54 k4 - N e. 0 hh 1 T LOT # SUBDIVISION PARCEL ID# (A - – 0 V \ V 1(0(106-0 O ' (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT SIGN n MOVE Q DEMOLISH INSTALL REPAIR PROPOSED USE n SFR n COMM n OTHER TYPE OF CONSTRUCTION ni BLOCK [ n FRAME = STEEL Q OTHER I DESCRIPTION OF WORK t 4 c L r(\C C�,�) � ' cx)(dC-cIC vri.C1aC Wee, Mae, htVA, to bV :id .455. is - 0....cc...,01e. BUILDING SIZE SQ FOOTAGE HEIGHT I BUILDING VALUATION OF TOTAL CONSTRUCTION ri ELECTRICAL $ AMP SERVICE I1 PROGRESS ENERGY I W.R. vu? PLUMBING $ t lD a o. 0 ► n MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /! I1 GAS I ROOFING r1 SPECIALTY r--1 OTHER ( /4911 1 ' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES ONO v j BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I License # I ELECTRICIAN COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I Address I Jf License # I Q/ / I PLUMBER �� COMPANY 6 ;'ruf 7 9 2 �C0 / lfJ. v2 eQ SIGNATURE �/ REGISTERED I Y / N I FEE CURRENT I Y / N I � Address !�J ( . X17 -1.4 � L_ AI(i1 4 61,1 License# I C 'C0I7 6 0 rI MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I 1 License# I I OTHER COMPANY SIGNATURE REGISTERED I Y/ N I 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 & 1 dumpster, Site Work Permit for subdivisionsAarge projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -0-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. . . . . . . . . . . . . . . . . . . . . . ii . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii . . . . .. . . . . . . . . . . . . ii . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :22 . . . . . . . . ii . . . . . ii . . . . . . . . . . . .. . . . .. . . . . . . . . . . . . . . . . . . . . inn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2:2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 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 NC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW