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813 -780 -0020 City of Zephyrhills Permit Application Fax - 813 - 780-0021 Building Department / ^ y / Gate Received / Z /� 0 Phone Contact for Permitti O G 1 3 3 cti _ � � Q l (/ / (1 / � e. Owner's Name r nk 0 ' P(( J Y Ian •, Cry Owner Phone Number 1 p l. 7L J I ^ Z Owner's Address 2375 / leldill . 311CGll,Pi 4 on,l / - 5O2Z. Owner Phone Number Ft — 74PO - X % 1/ 1� W Fee Simple Titleholder Name { )1\1 t lO r r �,�« T° 1 � p r rat:R I ) Owner Phone Number Fee Simple Titleholder Address 1 uJ Cofpo . CS Plan CI TN 7r0 D--1 j , C _ r JOB ADDRESS 6 DS I t (ooh 9 1 2 1 yl)T L 3394 Z— LOT # 3 SUBDIVISION Pctr k }} 11 PARCEL 10# 62- Z 1 vl b — CCOOD — o 0 5 0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ® ADO /ALT I I SIGN n DEMOLISH INSTALL REPAIR PROPOSED USE „ IX"' SFR El COMM I I OTHER I I TYPE OF CONSTRUCTION l>J BLOCK FRAME I I STEEL rr r-i I I /�� DESCRIPTION OF WORK Ia o On ft rMrI4 \ t)orL �"eecpu,�r� - J r \(fp2 lo-, (- u 4J ' F✓�i2 40(31r/a BUILDING SIZE I SO FOOTAGE /5C0 HEIGHT / J/OL) i I.BUILDING $4 / 7 i \ VALUATION OF TOTAL CONSTRUCTION I (ELECTRICAL $ ! V AMP SERVICE I PROGRESS ENERGY = W. R.E.C. I $ 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ( GAS ( ROOFING El SPECIALTY 1 1 OTHER . 40'4111h. FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA [(YES BUILDER COMPANY I . i / eh , l � ` . . . SIGNATURE - 7 /// � Q ✓ /' / p 7 REGISTERED f') N 1 FEE CURRREN I Y / N c' — I J Address LL/ 7 Bah C, 1 e. , q T 476, A 7 License # Ic&c. ` S/S / / &, ELECTRICIAN COMPANY I SIGNATURE REGISTERED I Y / N I FEE CURREN I Y/ N I Address 1 License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREE I Y/ N I Address 'I License # MECHANICAL COMPANY I SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address License # OTHER COMPANY I SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N I Address License # I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forams; 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. Alt commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. "PROPERTY SURVEY required for all NEW construction. 1 1 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 $7600) 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