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813- 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 Building Department e-ak ( v ` � Date Received / 0 -- /-- r� Phone Contact V ontact for Permitting �' 00 53-4 - � 3,T Owner's Name P k ff , 0 , � / P r O i t i • Owner Phone Number " 1 • 1- - 0 al 4- Owner's Address IQ t)h0. uQi 1 Z. Owner Phone Number Oa S.-9,.; `I 03 Fee Simple Titleholder Name \A Pc Owner Phone Number Fee Simple Titleholder Address k t f JOB ADDRESS 5 . SS t i eok \1A t LOT # SUBDIVISION PARCEL ID# ' 1' d'b -' x to - %100 - 0 0- (OBTAINED F OM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT n SIGN MOVE n DEMOLISH INSTALL REPAIR 7� PROPOSED USE n SFR n COMM n OTHER 1 TYPE OF CONSTRUCTION n BLOCK I[] FRA��--M,gE - STEEL n OTHER ( I DESCRIPTION OF WORK tu5eAe t 1kt PLC- i INS " �t r celNIL.. D N-k T Zfi ck--2 6... `1r4 BUILDING SIZE SQ FOOTAGE HEIGHT BUILDING $ b A VALUATION OF TOTAL CONSTRUCTION I Vf ELECTRICAL $ E, AMP SERVICE I I PROGRESS ENERGY / I I W.R.E.C. n PLUMBING $ _.. , � / n MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION GAS ROOFING SPECIALTY �� I I I S ECIALTY n O THER FINISHED FLOOR NATIONS FLOOD ZONE AREA []YES O r BUILDER .4 '�.1 11 `kt- -\._ • EGI COMPANYnS i, , ,,, N • (j0• • - SIGNATURE t REGISTERED �� E CURRENT I Y/ N I Address ( D �� k- /W . k)U c vll,J , A _ , License # j% / J 1 ELECTRICIAN , �' ` .. ' COMPANY \ 6 'N� ikt,()L) ` Ca - SIGNATURE ��:i�a / REGISTERED I Y/ N ECURR NT I /N I Address ill - r l 11 1 1 I PCUt. 10 L 1-- ` 4 • License # E SVargYe PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # OTHER COMPANY SIGNATURE REGISTERED I 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; 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 NC Fences (PIot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW