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• 813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 Building Department 405° 61 Date Received ,, r Phone Contact for Permitting ,, Z • • , �� EtHREIEtE#ffttat lIt4a: ::: :_... .. ... ..._ ............ ... ..... .......... .:........ :................. Owner's Name 1401 N Pry iJAJDI) Owner Phone Number Owner's Address 513q Sur„/nor . 11 1l J r ? pht I rk 1) rL Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address n JOB ADDRESS 5139 Summerl�l'I VJr 2eph LOT # SUBDIVISION Surv,nner 41 11 PARCEL ID # 'a-9 / & 1 Of 00. tD ' /t..) (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT 1 I SIGN I I MOVE I I DEMOLISH INSTALL REPAIR PROPOSED USE 1 I SFR I I COMM I I OTHER A C . A. . ' 't' TYPE OF CONSTRUCTION I I BLOCK r FRAME I I STEEL I 1 OTHER I I /t-L.1304i14 DESCRIPTION OF WORK Ale Chan jeo,a L Ar►ywa. 3T») 13 Seer 55lt() hea1sfr j p a R F31034 BUILDING SIZE SQ FOOTAGE HEIGHT I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. PLUMBING $ I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 57W I 1 GAS 1 1 ROOFING 1 1 SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IVES I INO tl&E ttl€tt# .E € .::::..:..:.. ... ......... •:.::. IttliftIMIfttlfttftlfftatlffitftMft4itIlittlfttatta4tttftttt • BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address Lice # se MECHANICAL COMPANY r ' n se # "" ✓ a54g / SIGNATURE REGISTERED Y FEE CURRENT I Y/ N r Address 33 1 10 Al.5ehe rer J)r Ste A License# eFe-1 7t' OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 Address ] License # tttf €€€Rte .. ... . . : .... ......... ... ..... . :3:1 ..: ':':: - .. _ .. .. F: ':: _ _.... _ .. .... .. .. _ ... ...... .... ... ... _ :...,.. . . 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. AN commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. " "PROPERTY SURVEY required for all NEW construction. r , : :........i : r " ..... ..... r .....:.. °:c :i :... .. ..: a,...i ... l ..:.. ... ..... . . ........... .. ... ir.:: ^::.:e°'....... .............. 1........ PM 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