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813-780-0020 City of Zephyrhills Permit Application rax -b Ii- IbU -UUCI Building Department Date Received I 9 Phone Contact for Permitting i■ (> D 01 1 Owner's Name QV" 4r j� roporli QS 2- L6-- Owner Phone Number 7c�1 —q.:.-1.-- (�o.7 Owner's Address PO r./ 'i 55 0 7 - PQ t Q- '557 L Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address i JOB ADDRESS ' 6L! 5 ( all 33 5-f: LOT# SUBDIVISION PARCEL ID# ll _(0_ al.- O(O - i - (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT SIGN I-1 MOVE I I DEMOLISH . INSTALL REPAIR PROPOSED USE I SFR I COMM I- 1 1 OTHER I TYPE OF CONSTRUCTION I I BLOCK [] FRAME I I STEEL I I OTHER 1 DESCRIPTION OF WORK P•42,.'- r 7'f (A. )( J1 i v_ BUILDING SIZE SQ FOOTAGE 1 ( HEIGHT NI BUILDING $ 36a00 VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I I W.R.E.C. I I PLUMBING $ �r`'' I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO Od" I I GAS N ROOFING 1 1 SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES 1 INO --- BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I • Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y/ N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y / N j FEE CURRENT I Y/ N I Address 1 License # OTHER COMPANY N,( lCJl � 05 t C . I Mil ow/ IP REGISTERED IY / N FEE CURRENT I Y / N I Address L-{ 13 �! 36 S-C-I 4,J. 14141 S - nr ( 4/ License # CC I 5S0,5 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. 11111111111111111111 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