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813-780 -0020 City of Zephyrhills Permit Application 1 it 9/81 Fax -813- 780 -0021 Building Department a [l /� Date Received Phone Contact for Permitting 1 two o -- bogs s III11111III111I WJ ' alt 4 r6 Name F1Or id8 f /- � flrn 11 J ` omr3nIa�IS di a N Aal t4 r Owner Phone Number 011 5) 355'443$ Owner's Address 55 $-tk-. S v uul t i j jiff„ 535 Owner Phone Number Fee Simple Titleholder Name 35 So ( 1 `1r`' Owner Phone Number Fee Simple Titleholder Address P JOB ADDRESS 55X P-etrat, Z6my jl lS FL 3354 ∎ LOT # SUBDIVISION PARCEL ID #I 1 /— 24 — Z — 00 (7 — /706 01(0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN I MOVE I 1 DEMOLISH A.- INSTALL REPAIR PROPOSED USE 1 1 SFR 1 >I COMM n OTHER 1 I TYPE OF CONSTRUCTION 1 I BLOCK 1 I FRAME 1 1 STEEL n OTHER 1 1 ''DESCRIPTION OF WORK 7 + d r f i , f / y lass & c cer igoar X (a), iFPI c tc Granite 51 DO Ye Ox'b*e skied T4p6 . BUILDING SIZE SQ FOOTAGE HEIGHT 1 BUILDING $ 2-00'0D VALUATION OF TOTAL CONSTRUCTION 1 ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY 1 1 W.R.E.C. 1 1 PLUMBING $ I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I 1 GAS 1 1 ROOFING 1 1 SPECIALTY 1 I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 J� R ,� 4 BUILDER : t 7 ) ' COMPANY f �� J � I . SIGNATURE / ( ( i ! / " " ° /I REGISTERED L a y _ N I EE CUR ENT Y / N Address 15 Zf ei itCAt 1i,..Aiks 335L2t License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y / N 1 Address I License # PLUMBER COMPANY SIGNATURE REGISTERED 1 Y / N I FEE CURRENT 1 Y/ N I Address 1 License # I MECHANICAL COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I Address 1 License # OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 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 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