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813- 780 -0020 City of Zephyrhills Permit Application „_,� _. _ rax- a��s- ttsu -uun a i ,f, t Building Department /U51 Date Received Phone Contact for Permitting - - IiiIIlIIIIIIIIlllll" i %f/ Owner Phone Number y2 U 1 . 4 % 3/60 & Owner's Name M I 5 4 C - ) . r 2 .. L 5 ^ Owner Phone Number 1 Owner's Address `I I Mire US L Le Owner Phone Number Fee Simple Titleholder Name} Fee Simple Titleholder Address 1 I i `�t'q `t I '' S+ m.j �g I LOT # I I JOB ADDRESS I � I I PARCEL ID #I I SUBDIVISION I (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED I NEW CONSTR , ADD /ALT 1 1 SIGN Q MOVE n DEMOLISH INSTALL REPAIR PROPOSED USE SFR I I COMM n OTHER 1 TYPE OF CONSTRUCTION 1 BLOCK 1 1 FRAME 1 I STEEL 1 1 OTHER 1 I DESCRIPTION OF WORK Pkt Jl u+' - f) e9 C - y ` r "' ` " I BUILDING SIZE 4 3 5 5 SQ FOOTAGE I t- c-7 • I ' HEIGHT 11 S I 1 I BUILDING $ VALUATION OF TOTAL CONSTRUCTION rk ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. on 1 I I PLUMBING $ 0 • ,,,,�,,\ 6 3 Lam 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION , 6 , 0 0,8.' 6 1 GAS 1 I ROOFING 11 SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES I BUILDER COMPANY I I SIGNATURE REGISTERED I Y 1 N 1 FEE CURRENT I Y/ N 1 s I License # I I ELECTRICIA COMPANY SIGNATUR - REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 • ddress License # 1 I PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I 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 & 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