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813-780 -0020 City of Zephyrhills Permit Application y / Fax -813- 780 -0021 Building Department I I / Date Received 0 --/( -2010 Phone Contact for Permitting 8/3 -- /! c15 Owner's Name &Alga PADP r/6,s OF .z- I J/✓C Owner Phone Number /3/3 — 78.9 Owner's Address 6 ,5240 fo k de / Owner Phone Number Fee Simple Titleholder Name A44 - Owner Phone Number Fee Simple Titleholder Address / JOB ADDRESS 6520 i �►.r i // 1 N6 RAo LOT # SUBDIVISION /VI4• &1 1)? £&i4t PARCEL ID# 0326 -- 2/ - DODD Di 000 -DOLX3 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED pr NEW CONSTR ADD /ALT I I SIGN h MOVE I I DEMOLISH INSTALL REPAIR PROPOSED USE I 1 SFR COMM I I OTHER 1 TYPE OF CONSTRUCTION I I BLOCK M FRAME I I STEEL I 1 * OTHER I I DESCRIPTION OF WORK $6r-U, o ) "01 to /'- 60 /Lh// b m oo,/be " YS/3/G BUILDI • SIZE 2-r X 7 2 SQ FOOTAGE / 7z , HEIGHT / ✓ o g AS AA" eilliaik FA BUILDING $ f�o� J v=„_ VALUATION OF TOTAL CONSTRUCT IVI ELECTRICAL $ ,2o00 - p[3 --�' AMP SERVICE 5,0 PROGRESS ENERGY 1 1 W.R.E.C. X 2') I I PLUMBING $ dh, !T /VD As C,0,✓A/E-C h Ai / "T, ir .7747 75"72,4 46i$i d I 1 MECHANICAL $ i � A � A ll �� - VALUATION O di C IC O N / 1 S€„4' ;3 /doliq ` I /VI / Z , 5.46 pi,,,. I I GAS 1 ROOFING I I SPECIALTY I I OTHER NO /� FINISHED FLOOR ELEVATIONS ' ' ' ' " ' — - - ' �.X FLOOD ZONE AREA 1 IYES NO /4 U (� I ' 4 / ., v _! . ,e BUILDER 1o� � &el t�/U�2�k:41V I ' &91 COMPANY 1 C 7 ) CnoA /A/ G- SIGNATURE P `►I' REGISTERED I Y / N l FEE CURRENT f Y / N 1 Address I (5 912,38 C C €el&% #,kS j Pi- 335*- License # ELECTRICIAN � � \71/9-Y v l - / v�L t-1 t-1 /. Z1i4/ SIGNATURE �� REGISTERED / N FEE CURRENT i3pC Y / N Address /fog; 1 (t"1Zi /1G/ 0 of 47/ F-1- 3,3.5Z-3 1 License # I f= /i ��' �� fi i LER ' i ✓ COMPANY /l/�i'r' a f S,2IJIt E 4''v /f' .7:44--. GURE Iv / I = - '_ REGISTERED I Y / N I FEE CURRENT I Y / N I Address v 30/ 4 a4-V6" C `.■ License # C Fe 05 4/ 47.‘" d E / CCAL f / COMPANY 1 ,, ,r� j f z C' // i G 45Q L ip URE �� 6 , Q�s ,� REGISTERED I Y / N 1 FE rcuRRENT I (7, N I ✓ /` Address _� j■ License # LEI C0'J? y.4 OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I 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. 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