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813-780-0020 City Of Zephyrhills Permit Application s , , ^ rax -as /�u -uvL I Building Department Date Received --2 Z- -09 Phone Contact for Permitting -- 1 1 1 1 1 I 1 1 I I I I t 1 I LLLL1° /� /1�, t2 L Owner's Name 7 / /Y1/ ` /, 4 , // Owner Phone Number Owner's Address 3 9 f t/ / C'9 ,( 7 dip Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 3 ? f / 9 COy ,i/ d14.° LOT # Ni may, / - *' Oo 0 /' OoO OO O 0 a SUBDIVISION /2 al efYLC ci P ARCEL ID# �7 - °4 - °7 ls6�° v J (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR l I I ADD /ALT I I SIGN 1 1 MOVE I 1 DEMOLISH INSTALL REPAIR PROPOSED USE 1 1 SFR I I COMM OTHER I G.(,Ccl) J? A/n TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME 1 1 STEEL I OTHER I g ( )(13 �/ DESCRIPTION OF WORK cS(.G.. e---00/1) f X- t BUILDING SIZE / 0 X /G � U'Md SQ FOOTAGE W 5/ HEIGHT BUILDING $ /y /OO tP VALUATION OF TOTAL CONSTRUCTION M I ELECTRICAL $ 90 1) AMP SERVICE PROGRESS ENERGY 1 I W.R.E.C. Elp r tl „1 rtova.: PLUMBING $ I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ti `' 'Y -; J4 I 1 GAS 1 1 ROOFING 1 1 SPECIALTY I I OTHER �� I' A U FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES Li NO tat Is BUILDER /Q, • COMPANY dal) V S' - 4 i!y ' _Z • c- SIGNATURE /5 REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I Address t try ir ,luf ELI Zl#9i4i -/i f/` 3 JW 1 License # ELECTRICIAN �C�- /�� /� ? i /� 3S` C90 COMPANY 7 E16c SIGNATURE `� �'/f REGISTERED I Y/ N I FEE CURRENT I Y / N 1 Address t t0• 410K /5 29041 - /, /- J `/ d3y //�� License # PLUMBER ��j� � / COMPANY ,Q-�/ � SIGNATURE / ) - / J 130) REGISTERED I Y / N I FEE CURRENT I Y / N I Address 3 49 vd rrQCq JJ /24 D .C. 3` of I License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address I License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address License # 1 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) 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 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