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813-780 -0020 City of Zephyrhills Permit Application rte • Building Department ' rg / Date Received Ptrons Contact for Perrrrittl , _ °4 (8 - 0.� t Phone Number q 4 - Owner's Name �( ��--- �Cd,�- Jl•�.. __ ` ��eti � � Owner .0-.--. ' Owners Address 1 3 fie. s}. Salem N }• 6 36 - I Owner Phone Number I a - . 9 t)`-- E=44- I Fee Simple Titleholder Name) I Owner Phone Number I • • Fee Simple Titleholder Address I JOB ADDRESS 1194qa- E C A L S S 0. _l. k ,_ I .3-Y3 +_ LOT # 1 J SUBDIVISION. . 1 D Y e't'i T flood , I PARCEL HMI Q9 - a 1 "Vat l 7 " WO 00 --- Ic3 . (OBTAINED FROM PROPdtn TAIL NOTICE) WORK PROPOSED - I I NEW AI NSTR I I ADD R T n SIGN Q MOVE Q DEMOLISH PROPOSED USE . I—I SFR " r COMM n OTHER I ' I TYPE OF CONSTRUCTION El BLOCK n FRAME . Q STEEL Q OTHER 1 1taIn g �' p I DESCRIPTION OF WORK NA ` i ella,, I BUILDING SRE L SQ FOOTAGE 1 I I BUILDING IS I VALUATION OF TOTAL CONSTRUCTION I ELECTRICAL 1 I AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.C. I1 PLUMBING Is 4 ; 0 1 9 g MECHANICAL I au u I VALUATION OF MECHANICAL I NSTALLATION ; �5 1-1 GAS I' ROOFING [ SPECIALTY I—i OTHER ,LJIJ FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA I JNO • BUILDER COMPANY I I SIGNATURE REGISTERED I Y/ N I FEE GLRRBIT I Y/ N I Address I 1 ..License # 1 I • ELECTRICIAN - COMPANY 1 I SIGNATURE REGISTERED - I Y/ N I FEE CURRENT I Y/ N I Address I 1 License # I I PLUMBER COMPANY I I SIGNATURE REGISTERED 1 Y/ N : FEE CuRRErtT I YIN I . Address I 1 ' Ucense # I I MECHANIC ' 1IN COMPANY y rL LC 1.. 5 1.40: l J .. a 4 " C 0 4 i; . SIGNATURE � REGISTERED as N FEE cuRREarT ' .411311 . Address I riLAI L .. r. 33 5 . 6 1 License it I ej4e.A q.L I OTHER COMPANY 1 • I SIGNATURE REGISTERED I Y/ N I FEE a REN 1 Y/ N I Address 1 1 license* 1 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) workkg days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Factties & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (3) complete sets of Budding Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new conshuc Lion. Minimum ten (10) workkng days after submittal date. Required onsite, Construction Plans, Stonnwater Plans wl Slit Fence installed, Sanitary Faddtles & 1 dumpster. Site Work Permit for all new projects. Ad 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 Aitomey (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 (Piot/Survey/Footage) Driveways-Not .over Counter if on public roadways. ROW it y