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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 Building Department L 4$9. 6 - c) 244— MX i y Date Received , - � 0 "V Ph one Contact for Permitting -- Owner's Name MIA T' Owner Phone Number )72 — 4 3 G D Owner's Address 3 236 ta,v' '" v / 'ti /fro • Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address p � 'VG �-/ ,. -, JOB ADDRESS J u./� !� /' /, £/Jd LOT # T / SUBDIVISION V eil 19a- PARCEL ID# o o2 — 0 2 /- -- • WA � �� 0 � pq (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I MOVE 1 1 DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR I I COMM I 1 OTHER 1 I TYPE OF CONSTRUCTION I I BLOCK // ate. I 1 FRAME I I STEEL F l OTHER I DESCRIPTION OF WORK POOL &O -7`/a& , OM A > 4', 4) odd ` t L BUILDING SIZE /a- r X 37 SQ FOOTAGE 'V " 421 HEIGHT BUILDING $ i 7 1 C VALUATION OF TOTAL CONSTRUCTION isA ELECTRICAL $ AMP SERVICE PROGRESS ENERGY I I W.R.E.C. I 1 PLUMBING $ PASCO PERMIT SERVICE F MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO (813) x'5314 AX 1 -- 8247894 I I GAS I I ROOFING I I SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 'YES I INO BUILDER < J ',' ' �� 4 « COMPANY cSo� V ^ �'r` � - SIGNATURE Y � Cti I"" 1 0' REGISTERED I Y / N I FEE CURRENT I Y / N I Address to 133" Pork- k-t.t! A Z'4.4 i ! . License # ELECTRICIAN r COMPANY / �/ a� G (�e� "'e • SIGNATURE �� REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address P. 0 . 4, O)C As z — iiielif 17 3'-37 License # PLUMBER COMPANY SIGNATURE /2/ REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I P License # 4. MECHANICAL P , LC �C@MP�414 . 1-f e tt;. ' A SIGNATURE r S � � / `� C REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address _ yT 7 I 4/624t_ lei Z-4411 // 333-W License # 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 project:. 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