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813 - 780 -0020 City of Zephyrhills Permit Application j _ 6 Fax -813- 780 -0021 Building Department 1 Date Received Q 0 - Phone Contact for Permitting -- Owner's Name AL 7f l JQ d Ol_ Owner Phone Number $ — 73A - 3) 'is' Owner's Address 3 75 U L11, y ,, Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address `/ JOB ADDRESS k3' 3L/ ) !' -L 7 HUE LOT # SUBDIVISION G Rii �J 1• r� ► z DAL PARCEL ID# / - j - 600 - O 0000 — d L/ 9 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT n SIGN I MOVE I I DEMOLISH INSTALL REPAIR PROPOSED USE I 1 SFR I I COMM I I OTHER I 1 TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME 1 1 STEEL n1 OTHER 1 DESCRIPTION OF WORK A Je- AAh ct r - - IS)<z,,.l - f 3 SEEP BUILDING SIZE SQ FOOTAGE HEIGHT I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY I I W.R.E.C. I I PLUMBING $ I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 0 c)-(v l Ltd I 1 GAS I I ROOFING 1 1 SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N ] FEE CURRENT I Y/ N 1 Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N . 1 FEE CURRENT I Y/ N I Address 1 License # MECHANICAL 0 L � J ' COMPANY PeE /9)2 Co A-1-6 E(� SIGNATURE 22 �l .CJL�C REGISTERED I / N I FEE CURRENT I / N I Address 'C-PkOlf C `J ' / it Lt0I License# C4'V0397sS OTHER COMPANY SIGNATURE REGISTERED I Y/ N 1 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. (NC 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 CO T - rent of Application Only) Reroofs Sewers c Service u .. - - C Fences (Plot/Survey /Footage) Driveway ot'over Counter if on public'roadwaysyiiee. - ROW a