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813-780 -0020 City of Zephyrhills Permit Application 7 Fax-813-780-0021 Building Department ,---- °61 �� _ �. - Date Received Phone Conrad • Pernittin • 1 - u Owners Name r 1 // A ! • L , � / •• /1 1 OwnerPhona Number ber lnMllrjFinlIl Owners Address I, ,ABC,1 $ • �L/�• A v.e., i►k,4 ho w> , ,tv /.34 Phone Number Fee Simple Titleholder Name 1 4414 - I Owner Phone Number I Fee Sim pleTitfeholderAddress JOB ADDRESS 137P3 D3 `j LZ, I( is i) *' 4 e'hyk h/��S . t` (-- ..3 �S I LOT # ( J SUBDIVISION I L / / t a l lAiP t a / I . P S AI /°/ PARCEL ID#I / /A& IL 19,01:)o /)Oil .-.i G (0111TAINW FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT r-i SIGN 0 I I DEMOLISH B INSTALL REPAIR PROPOSED USE ESa SFR D COMM F- OTHER 1 I TYPE OF CONSTRUCTION J BLOCK ® FRAME r—I STEEL = I DESCRIPTION OF WORK s // /L Aral C S AO . I�:!! i 9/. • 0 ` ' / v � BUILDING SIZE 1 1 SQ FOOTAGE I /052, G I HEIGHT ` , I �, ��) BUILDING $ VALUATION OF TOTAL CONSTRUCTION ELECTRICAL I$ I AMP SERVICE = PROGRESS ENERGY = W.R.E.C. r-I PLUMBING I I M ECHANICAL I$ I VALUATION OF MECHANICAL INSTALLATION r GAS = ROOFING El SPECIALTY r- OTHER FINISHED FLOOR ELEVATIONS I FLOOPVIE AREA =YES NO 1 1 IIY llllllllllllllllllllllitilllll BUILDER COMPANY I1 4 e ' ieA.e a /I , Afea / 4 SIGNATURE !�/''� REGISTERED ( / Y`/ N ( FEE CURREN A LY NN Address 1,:26;,.< G i ke A diem .PJ,, t ',' -`` 33s � � ° + / � — Liicense# I CAG/j L 7 $ ELECTRICIAN � COMPANY 1 Tvt 1 ZM I E-1- - Tel k , AXC . � SIGNATURE 1 • d 1 1111 REGISTERED 1 Y / N r 1 FEE CURREN r 1 Y 1 N 1 . Address I / a 1 'E / rT I / , Pc ea (NLtt / I J r r/ ` 3 4/&I s ENC nse# I �- — /3t �/� /.7/ ( PLUMBER COMPANY I SIGNATURE REGISTERED I Y / N I FEE CURREN I Y / N Address I / J License 1 d '/ t COMPANY �! Q 4 /L cv/Ir1/ � it- SIGNATURE �1 i zse , l MECHANICAL / ' ` ,. / i � 1 , REGISTERED I Y / N FEE CURREN IY Address I7 $ A ' 1 , 1 ,1- f t,0`.1.► /44A/414,7t •33.f' /G License # 16�l• 41097 ? l OTHER COMPANY I SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y I N 1 Address I 1 License # 1111111111111111111111111111 111111111111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O -W Permit for new construction, Minimum ten (1o) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster, Site Work Permit for subdivisionsllarge 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 wf 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. 11 1 11 1 1 1 1 1 " • 1 1 ' 1 1 • 1 1 1 "• 1 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized !lover $2500, a Notice of Commencement is required. (NC 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