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813- 780 -0020 City of Zephyrhills Permit Application Fax- 813 - 780 -0021 Building Department \4f (o5 1 `� Date Re r I -- # Phone Contact for Permitting t Owner's Name abet L 11 1 (--- Owner Phone Number ') 3- 7 7 g - 335 3 Q Owner's Address C 4 / / /` 1 dcyr- b)CLy Or zephyrhl )1 5 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address r JOB ADDRESS 6/t// IS r d Gj _ 1A) ,) - Zcph y rlI 1 f-< FL - 33s - 14 a LOT # ? 3 SUBDIVISION 7.-e‘ wily 1" I C` `7 L PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I SIGN I 1 1 I DEMOLISH INSTALL REPAIR PROPOSED USE 1 I SFR I I COMM I I OTHER 1 I TYPE OF CONSTRUCTION 1 1 BLOCK 1 I FRAME 1 I STEEL 11 I I DESCRIPTION OF WORK 5r1 C/0 S - L Xi ST)v forC,LN BUILDING SIZE / a 3'' X ) Li ' SQ FOOTAGE HEIGHT 7 ' I $ 2 / .--y-, 7 1 VALUATION OF TOTAL CONSTRUCTION I 'ELECTRICAL $ AMP SERVICE I PROGRESS ENERGY I W.R.E.C. 1 'PLUMBING $ 060:005.- I !MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I 'GAS I 1 ROOFING n SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES NO BUILDER ( '�` t/ � ��l /� COMPANY //01/1_ C t - fi c v--- SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN I Y/ N I Address License # ELECTRICIAN '-'C OCR a✓ ' REGISTE Y / N F CURREN SIGNATURE A ' - f COMPANY )4o ` 1 1 I Y / N 1 Address License # PLUMBER COMPANY SIGNATURE REGISTERED 1 Y / N 1 FEE CURREN I Y / N 1 Address License # MECHANICAL c G� COMPANY . SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN I Y / N 1 Address License # OTHER COMPANY SIGNATURE REGISTERED L Y/ N 1 FEE CURREN 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. IIIIII111111I IIII111111111111111 (lillllillllillllllllll Hi11111111 HI1111111 Hillllill H H1111iilllllllllltllllllllllllllllllllllllll (II11111 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