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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 11 Building Department Date Received 3-31 - /0 Phone Contact for Permitting IM - „I Owner's Name WIC' EL 1 tS Lax— Owner Phone Number Ff /Y' 7/ d ' .4c) cZ3 Owner's Address 1/21/1 EL'i+m K7) 51 6 -M0 Owner Phone Number Fee Simple Titleholder Name 1 Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 3q ?4q 0 1,tl J�. . q rye^. --L LOT # SUBDIVISION (r Y% +T 0 PARCEL ID# - !1 - 0430` . G [5Q ��777 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED _ NEW CONSTR n ADD /ALT I SIGN n MOVE I DEMOLISH INSTALL REPAIR PROPOSED USE I SFR n COMM n OTHER I I TYPE OF CONSTRUCTION f I BLOCK I FRAME I STEEL n OTHER I I DESCRIPTION OF WORK ,.+l,CA1[ + Q t (STl n1 L BUILDING SIZE /3)/30 SO FOOTAGE 310b • 114? HEIGHT BUILDING 1$ #3 ► 4173 re") VALUATION OF TOTAL CONSTRUCTION I ELECTRICAL $ AMP SERVICE I PROGRESS ENERGY IT W.R.E.C. 1 PLUMBING $ I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I 1 GAS I ROOFING I SPECIALTY n OTHER FINISHED FLOOR ELEVATIONS / F ZONE AREA =YES =NO L l\ aaii.--/ BUILDER � s - � e ( COMPANY Ai) 1 � { �-ir1 SIGNATURE WW O REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I Address Vd3 re lls License# (MP S' ? Rd. ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y N I Address 1 License # I PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I License # I MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I License # I OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N I Address I 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 S 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 Permtt 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 02500, a Notice of Commencement Is required. (A/C upgrades over 55000) Agent (for the contractor) or Power of Attomey (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