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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 Building Department 1 Date Received 11 Z (� S � Phone Contact for Permitting Q 3 r -fin O - _ t D V 4 r- Owner's Name j(g4iAr_ k leam.f.. 51oo CV id Owner Phone Number t- 1 ` ''D41/ ` ;- ;';/ / C__f Owner's Address 137600 4r 11 A U 'L Z -FYI Ps 337/ Owner Phone Number Fee Simple Titleholder Name I Owner Phone Number , Fee Simple Titleholder Address I JOB ADDRESS 3 , AY1r.i91 V. / LOT # 30 / SUBDIVISION 62A sJ //OL0.4 'eV A/ PARCEL ID# 311-',;5.""W`49/10 — 00000 --30/0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED H NEW CONSTR I I ADD /ALT n SIGN n MOVE Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR I= COMM n OTHER I I TYPE OF CONSTRUCTION / I — I , .. L Jl G4 •FRAME 6• STEEL Q OTHER I I. DESCRIPTION OF WORK 1 1 1 RA'5 o+� N }��Q7 / $tb f t IIp Awn ,V I BUILDING SIZE I SO FOOTAGE I HEIGHT I BUILDING $ 3.2 91 • y3 VALUATION OF TOTAL CONSTRUCTION F ELECTRICAL $ ..� AMP SERVICE n PROGRESS ENERGY n W.R.E.C. Q PLUMBING $ Aloe I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION f� = GAS = ROOFING I I SPECIALTY I OTHER L C t;u: FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA DYES =NO BUILDER SIGNATURE �J� u COMPANY 1 ath r20/iL I , � REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I 0rs Ag ef Z the / ?3s�..1 I License # I &dee s . 7 7 8c I ELECTRICIAN / d J �'J COMPANY I r)� � Ji / 1'!l r I (F FEE 4) SIGNATURE /// it-t 1 / y,/ REGISTERED ( Y / N FEE CU / I Y / N I I Address 0 t e r • . License # I Ei2I JC J[744.3 I PLUMBER COMPANY SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I Address ( 1 License # I MECHANICAL COMPANY 1 SIGNATURE , REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I 1 License # 1 OTHER COMPANY I SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I 1 License # I 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, Stornwater 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, Stor mwater 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 H over 52500, a Notice of Commencement is required. (A/C upgrades over 55000) 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 (Plot/Survey/Footage) Driveways over Counter if on public roadways..needs ROW