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813- 780 -0020 City of Zephyrhills Permit Application Fax- 813 - 780 -0021 Building Department Date Received Phone Contact for Permitting -- 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 `1 -1+ ++ Owner's Name PA y 1, -1 ! / / U SS 1 C7'∎ Owner Phone Number Owner's Address I-- O v e 41 1 `3 7 57o) Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address /J / JOB ADDRESS 3 S-1 C. ✓CI? /T `'C Z hyV`9 / / F ( LOT# SUBDIVISION G YU a d PARCEL ID# 3 `/- 2.5 2 / -o o9 0 -b000o - / 3 s (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 1 I I DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR 1' COMM I I OTHER I TYPE OF CONSTRUCTION I 1 BLOCK r7 FRAME 1 1 STEEL ( / I I I V�-t' DESCRIPTION OF WORK / /�1� (,-) 2—C y�°t, Y O/14 L / T cj I- BUILDING SIZE SQ FOOTAGE / 7 5 HEIGHT 11111111111111111111111111 ►11111111111 1111111111H11111111111111111111 11111 H 1111111111111111111111111111111111111111111111111111111t1111111 I BUILDING $ 7 J `��M d v VALUATION OF TOTAL CONSTRUCTION 'ELECTRICAL $ 7 25 v AMP SERVICE 1 I PROGRESS ENERGY I I W.R.E.C. 'PLUMBING $ 'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' 'GAS ROOFING 1 I SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES NO BUILDER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREIN I Y/ N I Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN I Y/ N 1 Address License # PLUMBER COMPANY _ SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURREIN 1 Y/ N 1 Address L�� License # OTHER 2( ` COMPANY S !-b l I 644,1 l"c 4. r. SIGNATURE / / REGISTE / RED L Y / N I FEE CURB ! Y / Address U(�1 t7 K (f d / � a r uu! �Ci h/ 1 //� f- h �7 ✓� 3 (O License # C C L S 7 5 S 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. 1111111111111111IIt11111111Il1111111111111111I11111111111 HIIII11I11IIIIIIIII1 Hi H- 1• tillII111IIIIIII11I11111111111111111Iiillllllll111111 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is requ (A/C upgrades over $7500) ** 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 if shingles Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways.. needs ROW