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813- 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 Building Department V / / 6` r 1 Date Received Phone Contact for Permitting gl 1 (4 7 -- `� 6 [t atilittn14141 4144 FCU' J► 1 •s :.::.::::::.::: • .,a .::.:_ .... ,asmmmamm rowaxz Owner's Name C A l rl a" 3 -V.4 e S i -I- C Owner Phone Number Owner's Address 113 010 u S 1-ki y!. W&.// To( 1 Owner Phone Number I tC,� 6.2 Ili i / Fe /Karl Owner Phone Number I Fee Simple Titleholder Address £ I p JOB ADDRESS 15 ?i Ott ( i tid I LOT # SUBDIVISION PARCEL ID# t i - L ( - 2. (- QO(o - 0890o- O L s0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR I ADD /ALT 1—I SIGN 1 MOVE 1 DEMOLISH INSTALL REPAIR �, PROPOSED USE n SFR 1 1 COMM �yp I OTHER I 1 TYPE OF CONSTRUCTION y — 1 BLOCK ! w 1I FRAME n I STEEL I OTHER I I i , 1 DESCRIPTION OF WORK 7'O.L. CnC -Ye-Fe J' out, (es�'U" C.t C' On sOw c 44, $. Q ,( bu-rl" BUILDING SIZE I SQ FOOTAGE I HEIGHT I J A.1Mta ttiiRt. 14. 141.1 414l44 .414#141ar4t4inglm41.1414144ENMa M44 4444141.***41484414414 DWI ItNN4.14 #11.1.1.:414IM.144. 1** 11414 #I41187xMi:pw1.41414ta.H.,.... 414# 04441 .1RiSf:114401TiW042WY141x1#1. BUILDING $ L/ l � 00 0 VALUATION OF TOTAL CONSTRUCTION r r ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 N0 n PLUMBING $ 1 # 3 S2 �� O I x a. 1 C1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION AI C ~ -ta-- � ystr 1 GAS 1 ROOFING 1 SPECIALTY I I OTHER 7 j\p " Pei i) ! e' - -t. +- FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 11YES [NO - i /03b C./ : IV Itall ita !!NdaITRE:tl3flIS111.114t3t / 3111fi 431itlMIIItl33413141a141341/141 1138314141/4' A1441B� trArti*mtxlate m attstuualtattotai atatai ftattio 1tattoott tte kN a talmataa ntiag lame J BUILDER �s; �t! /'/ ,;(004 COMPANY I1'4 » £r�.j4v. �-1- on -( rL t SIGNATURE 7WU` 1� �/ REGISTERED / 1 Y / N 1 FEE CURRENT 1 Y / N 1 r J . 1 Address 136 ( 4 ( 3 J 1 2eil. tic License# I C. (s C 1517/7 Z. ELECTRICIAN COMPANY I SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I 1 License # I PLUMBER COMPANY I SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I Address I 1 License # I MECHANICAL COMPANY I SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I 1 License # I OTHER COMPANY 1 SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I I License # 1 I :t441414MNiFtii414141#441EgMt 1444M#1 144141 1114141 n#Wlal41V414Baidt ldl#IdBlrtl'.. : '4 : 4141#li4 # A7dla14## 3141:41 t# #dS #141414144 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -0 -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 Budding 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. eitietuititilmati ngimaganiatigigtfilmAnigiligijamminiiimiliiiminidimumisiv, .,: , .14;....1.;. , .v , : , a;. 1 .;. 1 1.:.1. 1.1 I.1.1 .l1101 El R7RI al rat 3ii1 113Y3illaillEi3 fain 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 NC Fences (PIot/Survey /Footage) Driveways -Not over Counter if on public roadways.. needs ROW