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813-780-0020 City of Zephyrhills Permit Application Fax -813 - 780-0021 Building Department ,y4 am 96o Date Received _ _D Phone Contact for Pentad • 1; / / 3 - , 5 ♦ Owner's Name 5 /7 C(Th () /4 !,Se Ltretzki Owner Phone Number 8 J 3 - 2 C.. z Owner** Address tj S t I ° I \ k-� c's` ,de Zetahy rill ti Owner Phone Number Fee Simple Titleholder Name' N t) tJe I Owner Phone Number Fee Simple Titleholder Address NI Q 1 JOB ADDRESS I ? (('1 -- av--L )Nr- ZPoh.(rh11 -f 33S'1 LOT it 9 Cy 4/O 1 SUBDIVISION PARCEL k) 'ANC. \ ∎� PARCEL ID# I Z - 2v - 2 I - U DO -00 k Jl� —(XR D (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH _ INSTALL REPAIR PROPOSED USE Q SFR n COMM Q OTHER I I TYPE OF CONSTRUCTION n BLOCK n FRAME 1 STEEL n OTHER I I DESCRIPTION OF WORK ( e J ^i -r ∎ \ &M C I - I ce ( QC:. (c\ P . o BUILDING SIZE I I ( X \ SG FOOTAGE 31 S Sri-rl HEIGHT I / I FT BUILDING $ ( . (qq C") VALUATION OF TOTAL CONSTRUCTION i FT ELECTRICAL $ I V O C AMP SERVICE n PROGRESS ENERGY = W.R.E.C. I PLUMBING $ NI O \ & V r MECHANICAL $ - \ t V VALUATION OF MECHANICAL INSTALLATION 1,) V Jv N. 6- T12.46 [� GAS = " • r --- 1 FT PING II SPECIALTY OTHER kf FINISHED FLOOR ELEyATIONS \ / FLOOD ZONE AREA I =NO 4 1.1 BUIL.ER ia r '■ I , - COMPANY «/ N FEECURRENTJ GNATURE — ∎ REGTERED Y! N I License # ELECTRICIAN 1 V D _ ` ,V COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y IN I Address I License # I PLUMBER COMPANY SIGNATURE U t REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address 1 License # I MECHANICAL 'v _ 1� 0 COMPANY I SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I 1 License # I OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/N I Address I I License # \ ( Permit RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O -W Pe for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpater, 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 dunpster. 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