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813- 780-0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 t� - Building Department #92,94 Date Received • Q Phone Contact for Permlttln , ft 7/•1 - 40 C i 6 (-Law w I c Owner's Name H CA 1 k t Tildes %,.,e., q�, \ t � s •L. / � L L C Owner Phone Number i • 2-0g2-.C - 0 Owner's Address 13 D f I O# s 1't./1 �f, A 1 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address ` , JOB ADDRESS 1 6 n O 3 4 t i �A ke a r C 4' y r e Ln • LOT # 2- SUBDIVISION D P Ci PARCEL ID# o 2 -2 6"11- 01'3 a - 00000 - ooz 0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED - NEW CONSTR Fg1 ADD /ALT n SIGN n MOVE Q DEMOLISH - INSTALL REPAIR PROPOSED USE SFR ni COMM j j OTHER Irouidwarvaimmolmo TYPE OF CONSTRUCTION BLOCK T - i FRAME n STEEL n OTHER 1 DESCRIPTION OF WORK ( . T1 .4e.r , a c 6...... 1d out (Ex :s 4-.. -, ) ke / 1 ) S 4 e 1 1 ( ar m ; - di 2 BUILDING SIZE C -1 X 50' SQ FOOTAGE 27 0 0 HEIGHT I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BUILDING $ g ; oo D VALUATION OF TOTAL CONSTRUCTION CKI ELECTRICAL $ D AMP SERVICE 2 v0 X PROGRESS ENERGY Q W.R.E.C. X PLUMBING $ CAV // MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 0 pac_ n GAS 1 ROOFING n SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS I 0 �OD ZONE AREA nYES , IXINO BUILDER ,;_ ' -N / ( , : 1 COMPANY ��/N (An C .►� T (� � . + r t. C . SIGNATURE G " ` . REGISTERED & Y ! N FEE CURRENT I Y / N 1 S Address 364 [ L 41 2 "t Us .- 1 License # Icac as" o 9 i y II _ ELECTRICIAN ��a'i 411 p ` IJM .AY 1 [ Utj7 ��5 SIGNATURE p 4al %/ - +,.' TERED I Y / N I FEE CURRENT I Y / N 1 �� ` ,- Address I � 1 0 S } . 4 Q � dy � I License # I / •S�6_ - 00 �'G 7 PLUMBER J/1/ // Q ` COMPANY ben W1. S (t l 4 M f SIGNATURE � ��' �y y + , / [' A' J � �� g ' � p GISTERED I Y ! N I FEE CURRENT I Y / N Address 1 3 6 1 l L , C-& J . 4 Z L {a7v 1 License # I C FC - i y Z S6 o Z URE ` /' COMPANY 1 S Y/ N 'r SIGNATURE REGISTERED I Y! N I FEE CURRENT I Y/ N I Address ( I 5" 1 t"kvJ t i 3 0 I I License # I F- M oo t o 6 1 OTHER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I Address I License # 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 constriction. ' Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over 82500, a Notice of Commencement is required. (A/C upgrades over 85000) 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