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813 - 780 -0020 City of Zephyrhills Permit Application Fax- 813 - 780 -0021 Building Department Date Received - - / Q ( 0 Phone Contact for Permitting 32- ( 1 a6 -- t03q e t Owner's Name \V\ \ - Oa-tit= Owner Phone Number f (3 - 183 - %q11 Owner's Address S9 an Nat.) Bell/ C..1 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS Sal az) NI 6 C. ( 1 LOT # a1 SUBDIVISION listens (dpop tA00000 PARCEL ID# 10 - 26-A t - 01110 - O0oo0 - 0410 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR l ADD /ALT n SIGN I I MOVE DEMOLISH INSTALL REPAIR PROPOSED USE F SFR 1 1 COMM I I OTHER 1 TYPE OF CONSTRUCTION BLOCK I 1 FRAME I I STEEL 1 1 OTHER 1 I DESCRIPTION OF WORK '► Wee q*1 C Qeo BUILDING SIZE SQ FOOTAGE HEIGHT , 134 BUILDING $ .kG 511 VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 1 I W.R. .C. I l PLUMBING $ 0 V e I S I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � •- �yZ,�'C l � I+ I I GAS I 1 ROOFING I I SPECIALTY I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES I / / // uacv i BUILDER V �� /' CO MPANY Q /A�c �[.4>�46(3 coat �S4Gltl,'CS, _1 1 SIGNATURE /� REGISTERED l Y/ N I FEE CURRENT I Y/ N I Address 1 (b 5 ?m,,v, ( t O3Vt + f[_. 32 License# 0.0_,(3J41/ 83 ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED 1 Y / N I FEE CURRENT l Y / N I Address License # I MECHANICAL COMPANY SIGNATURE REGISTERED I Y / N I FEE CURRENT I 'MI I Address License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N L FEE CURRENT I Y/ N 1 Address 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 & 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. H - 1 - H - H I11I1I1II11111111tIII1I1I11 Directions: I 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