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4x9(9 813 -780 -0020 City of Zephyrhills Permit Application Fax - 813 -780 -0021 Building Department Date Received w ' Z -0 9 Phone Contact for Permitting If IA 401 - 1"14 su b Name ♦ "� ' 1_ , / d er Phone Number 55 SIC ' Owners Address , __ A bb17 �j 1 m Owner Phone Number 1 I. 1 i Fee Simple Titleholder Name C( j) nC• Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS `Q t l..} pi CCC..•/II 4 1 O 1-A- r\ LOT # T L �j ^ � J SUBDIVISION Sl 1 �`^e k PARCEL ID# 03 -26,, 2 J- .. b 2t 00 45 (OBTAINED FROM PROPERTY TA N OTICE) WORK PROPOSED [ EWCONSTR ADD /ALT I SIGN n MOVE I I DEMOLISH I�I INSTALL REPAIR PROPOSED USE I ---- 1 SFR I 1 COMM I OTHER I I TYPE OF CONSTRUCTON I I BLOCK 1 n STEEL Il OTHER I I DESCRIPTION OF WORK ) 6 X ' z L, D� - 1 c � ke, a in L Or/`7ys c\ '\rVe —� . BUILDING SIZE / _ SO FOOTAGE + 1 " Z.0 HEIGHT vv v�� ' BUILDING $$ 1 5 w) VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY ni WR.E.0 I 1 PLUMBING $ I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I GAS I I ROOFING I I SPECIALTY ni OTHER FINISHED FLOOR ELEVATIONS FLO ZONEAREA I]YES n NO i `I Alas ' , \ C COMPANY I t 7 C hit SIGNA iiiii 1 ; _�„ REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I Address w a l 00 License # _C46, tG I L.,, / :5 ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y 1 N I FEE CURRENT 1 Y/ N 1 Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y / N I FEE CURRENT 1 Y 1 N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I Address License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) workng days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) workng days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. SIGN PERMIT Attach (2) sets of Engineered Plans. ""PROPERTY SURVEY requred 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 cver $5000; " Agent (for the contractor) or Power of Attorney (for the owner) would be someone wth notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Ony) Reroofs Sewers Service Upgrades A/C Driveways Fences (Plot/Sunny/Footage)