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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 Building Department .• 1 li. 2 Date Received - ( O A G13 7PY �� /V -/ Phone Contact for Permitting y -7 Owner's Name / ,p Q-)'L' Z/1 /)CQ,/) Owner Phone Number $�' ? 9 7 J Y / Sid Owner's Address J9 / 7 a(fL/" X* V' • Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address ``- / ,t !/ JOB ADDRESS 39/7 J 44, s/ • /0/�/ A / / - LOT # 6/ SUBDIVISION 1 /l& O4! d -S_ s PARCEL ID# 44-0 "0 Ww OW — ai (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED N NEW CONSTR ADD /ALT I 1 SIGN 1 1 MOVE I I DEMOLISH INSTALL REPAIR PROPOSED USE 1 I SFR 1 1 COMM 1 I OTHER I 1 TYPE OF CONSTRUCTION I 1 BLOCK /_ _/ II FRAME II I STEEL I 1 OTHER 1 1 -621)00E7 DESCRIPTION OF WORK C 1 s J OA i • J64 BUILDING SIZE /3 I X 0 , SQ FOOTAGE , X410 HEIGHT I $ I BUILDING $ 7, _- p , d0 VALUATION OF TOTAL CONSTRUCTION I ELECTRICAL $ � AMP SERVICE I I PROGRESS ENERGY I 1 W.R.E.C. I I PLUMBING $ PASCO PERMIT SERVICE (813)788-5314 I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION FAX 1 �J 1 I GAS I 1 ROOFING I I SPECIALTY I I OTHER 1 FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 'YES 1 INO � C OMPANY J K v� —Z AC BUILDER g^, /'-'• ,, d SIGNATURE AAL4J4 Jls • ( REGISTERED I Y / N I FEE CURRENT I Y / N I Address ut/sv Fen' £L,2 L Z j /'hI41 /7 • License # ELECTRICIAN `/ COMPANY SIGNATURE REGISTERED I Y/ N ] FEE CURRENT 1 Y/ N I Address License # I PLUMBER COMPANY SIGNATURE REGISTERED I Y / N I FEE CURRENT 1 Y / N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y / N I Address I License # OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 Address License # P 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 $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