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a13 -780 -0020 City of Zephyrhills Permit Application - ax- o,s- rou -uu21 7� Building Department • • • Date Received Q V Phone Contact for Permitting 4313 'k Z (o - 1136 Owner's Name . �e>J �( �� N ' C. n ' Owner Phone Number /1 - Z IS4 Owner's Address Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address �1 C JOB ADDRESS \ 5A- LOT # SUBDIVISION PARCEL ID#I (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ® ADD /ALT 1 I SIGN n n DEMOLISH INSTALL n REPAIR PROPOSED USE n SFR ® COMM I OTHER TYPE OF CONSTRUCTION ® BLOCK Q FRAME I I STEEL n DESCRIPTION OF WORK Q 1, ^ l.) , r"m r tc \ S�^' / �A' b "' k • AK) , CnOU'G BUILDING SIZE SQ FOOTAGE HEIGHT []BUILDING $ VALUATION OF TOTAL CONSTRUCTION []ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY n W.R.E.C. IBC D lArt!,141 PLUMBING f., I 1MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (fir Dru411 ^ yy ,V er sc�G G� 1 I GAS n ROOFING n SPECIALTY 1 $ OTHER / p FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA []YES NO N 1 BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREI' I Y/ N 1 Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURREI' 1 Y N Address (� License # 'k PLUMBER COMPANY ';^c: - F a nrVb)w SIGNATURE i �J / REGISTERED 1 Y/ N I FEE CURREI I Y/ N I Address License # UPC, 14 Z MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREI' I Y/ N 1 Address I License # OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURREtS I Y/ N 1 Address I License # I 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. " SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over 82500, a Notice of Commencement is required. (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