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813 - 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 SO Building Department /0 Date Received Phone Contact for Permitting — Owner's Name 1 . , I � �.�� L �� Owner Phone Number ��/r� Owner's Address Pd20)� 2. 1 1 V Owner Phone Number Q(lom( , _, V, ,,�}�C Fee Simple Titleholder Name ) f P- Owner Phone Number g )4,15C) JC, ) Fee Simple Titleholder Address na )1 1 JOB ADDRESS 5 Lo 2 \ G 2-,\\)6. LOT# 1 `3 SUBDIVISION PARCEL ID# - a l Q a \ -C ?�D O E. (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED _ NEW GONSTR j, ADD /ALT 1 1 SIGN 71 n DEMOLISH INSTALL F2 REPAIR PROPOSED USE n SFR ® COMM I 1 OTHER TYPE OF CONSTRUCTION I I BLOCK n FRAME I 1 STEEL n DESCRIPTION OF WORK I Ct. 6 ,000 y 1� LL 1i — RC) d — ^ r Q. BUILDING SIZE 1 S4OC SQ FOOTAGE HEIGHT (BUILDING $ / VALUATION OF TOTAL CONSTRUCTION (ELECTRICAL $ / AMP SERVICE 1 1 PROGRESS ENERGY n W.R. E.C. IPLUMBING $ (MECHANICAL E .1ALUATION OF MECHANICAL INSTALLATION IGAS 1 1 ROOFING n SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES NO BUILDER V )' f COMPANY SIGNATURE �J REGISTERED 1 Y/ N 1 FEE CURRE1 1 Y/ N Address License # ELECTRICIAN 1 ) 1 [\ COMPANY SIGNATURE /�J ll REGISTERED I Y/ N I FEE CURREN I Y / N Address ( License # PLUMBER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 Address 111111111MMEMIIIIIMII License # • Exl �- V vCg lnC MECHANICAL PIM OMPANY nec- SIGNATURE L� ' —= I ill 2 REGISTERED 1 I Y / N h FEE CURREN 1 / N Address tOr1 N � . T �l� J i �i �/� [license CI\ l„_©piA-t:?.4. OTHER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURREN 1 Y/ N 1 Address License # I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 1 1 1 1 1 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: All 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