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813-780 -0020 City of Zephyrhills Permit Application % � t5 Fax -813- 780 -0021 Building Department l ' 8'13 • 3 7/Q Gerdy Date Received Phone Contact for Permitt 111111111111111ULU SA ��•� E T�uS� Owner Phone Number A c' )nZ toik Of 0-0 , e , Owner's Name , Owner's Address 1 /04 3 Decks 2 5 emi# 0 / e, F /•, 13 72Z Owner Phone Number IecoA.1 * GL 5 egl - C•17 3 reslo Owner Phone Number 1 Fee Simple Titleholder Name' Fee Simple Titleholder Address I I I JOB ADDRESS I Le / •14 i Gael 5 ee i 2e f r A- P3 c/' 33Si� Z I L OT # I I SUBDIVISION I I PARCEL ID #I 001-.24 - CC. C 4''C ,300 •- 00/0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED I I N EW CONSTR I I ADD /ALT n SIGN I MOVE I 1 DEMOLISH INSTALL REPAIR PROPOSED USE I I S FR I I COMM I I OTHER 1 2 FRAME ' ec - b Fa' /�e e rnifeciF TYPE OF CONSTRUCTION I I BLOCK 1 1 I I STEEL n OTHER 1 I I e 4 �.4 k 07 e#,... nel a ..."..4. a ..."..4. e%ti "c FoP ) c,tnr el- . - S'ewa,., h.•s bre. 4.-0 4r DESCRIPTION OF WORK I (A for 01 09e-,.. 7 YrnR.(`•tq Z1 rs - - (i4 to e. - '7 Pek') BUILDING SIZE 1 I SQ FOOTAGE I 1 HEIGHT 1 I I I BUILDING I$ I VALUATION OF TOTAL CONSTRUCTION I 3 ,,,,a ELECTRICAL $ AMP SERVICE PROGRESS ENERGY n W.R.E.C. I 1 PLUMBING IS I I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I I GAS 1 1 ROOFING 1 1 SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES ED NO BUILDER F EE CURRENT COMPANY 1 SIGNATURE REGISTERED I Y/ N 1 I Y / N 1 Address 1 License # ELECTRICIAN � COMPANY I / C � , &le c it l c SIGNATURE (, -l ol t+ �k1 - l�v? REGISTERED I 6,) N I FEE CURRENT 1 (?)/ N 1 Address NM (( / i ie lei Z4,1/ s Ft 33S10 License # I e.-- - 000 /24ff 1:137 PLUMBER COMPANY SIGNATURE REGISTERED I I Y/ N 1 FEE CURRENT I Y/ N 1 Address 1 License # (- MECHANICAL COMPANY I SIGNATURE REGISTERED L Y/ N 1 FEE CURRENT 1 Y/ N I Address 1 License # I OTHER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I Address 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, 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 A/C Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW