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813- 780 -0020 City of Zephyrhills Permit Application Fax - 813 - 780 -0021 Building Department p Date Received 7 -, 2 -lc) p h one Contact for Permittingg (( C (3) 3 . 5 5 - -7 7' 8 - I - I - I - I - I - I - I - - rl I I 1 I 7 1 7 1 r r r r Owner's Name A de I le t ((� ark A m 1 S o n Owner Phone Number ry r 3 - -35 - -77izf1 Owner's Address 3 25 ""I `.b a VQ . Owner Phone Number 1 913. 3S S - 79 67 Fee Simple Titleholder Name I Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 3ct525 Cr tq V{ . LOT # 23 SUBDIVISION SUnSe } E4c.ke 1 PARCEL ID# i 2 . 2-t • 21. 0 6 0 0 - OOOOr0. 0 230 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED R NEW CONSTR — ADD /ALT 1 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR n COMM 1 J OTHER 1 J TYPE OF CONSTRUCTION Q BLOCK n FRAME J] STEEL Q I C/ e h1 DESCRIPTION OF WORK C� F Ce 0.'O 5 Wiest C■cie 11 rrope /-4 ne 4D Corrwr r,t koV$e I BUILDING SIZE I SO FOOTAGE' HEIGHT I 61 BUILDING $ 160 . (70 VALUATION OF TOTAL CONSTRUCTION nELECTRICAL $ AMP SERVICE fJ PROGRESS ENERGY n W.R.E.C. []PLUMBING $ nMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION nGAS l l ROOFING pi SPECIALTY I 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO 1111111111 111111111111 11 I 11111111 1`11111111111111111111111111 BUILDER 1 I COMPANY f f om W W N I✓ SIGNATURE y�y Ave i1 REGISTERED � Y/ N 1 FEE CURREN J Y/ N 1 Address I3R525 G6 A Ze /'1O S 335 L- License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURREN J Y/ N 1 Address I 1 License # I I PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I Address I License # I MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N Address I 1 License # OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN I Y/ N 1 Address I License # I I 111111111111 1111111111111 111111111111111111111111111 111111111111111 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. 1•' 1 1 1 1••I 1 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 NC Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW