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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 Building Department Date Received — — Phone Contact for Permitting — I Owner's Name MM...., / Owner Phone Number ij7. 212�1 Owner's Address _27.5 3 4/1 zke Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address ® �� JOB ADDRESS 3�So 3 rpLti /vct.(' LOT # SUBDIVISION PARCEL ID #hZ — Z � Z Lb26O ODl)DU — O / (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR n ADD /ALT 1 SIGN n n DEMOLISH INSTALL I I REPAIR PROPOSED USE 1 1 SFR n COMM 1 1 OTHER I TYPE OF CONSTRUCTION I I BLOCK f FRAME 1 1 STEEL 1 1 DESCRIPTION OF WORK , ate , �, ,,'�_ I , - # j � 1- LW' - BUILDING SIZE SQ FOOTAGE HEIGHT 1 'BUILDING $ VALUATION OF TOTAL CONSTRUCTION nj� IECTRICAL $ 6 56 ` AMP SERVICE fi7( PROGRESS.Ef SRGY ( 1 W.R.E.C. 1 'PLUMBING $ f0 MECHANICAL VALUATION OF MECHANICAL INSTALLA ION 1 I $ �, 1 IGAS 1 I ROOFING n SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES NO Illtil1111111111111111iiitii1111111111111111111111111IIIIIIIIIIIII1111111111I11111111Illlil11111111111111IIIItllilll1111111111111I111111111It BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 Address A . License # 1 IA ELECTRICIAN �� FFall! � COMPANY L� � G� it-c % SIGNATURE � A REGISTER D Y / N 1 Y I Address ;� , � J �� / ��;'� 4 3 ZS License # (36ti .C , PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address I License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N 1 Address 1 License # I OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 Address License # 1111 11 1 111111111111111111111111111111111liiilltlliill111111Iti111111111111111111111111111111111111111111111111111111111111111III1I11111111111 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. 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 $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