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813-780 -0020 City of Zephyrhills Permit Application Z Fax -813- 780 -0021 Building Department . Date Received -6 Phone Contact for Permitting -- n Owner's Name K C'+� n 2`}k PC - So ne, " �� 3 � -1 ci . - S ) Owner Phone Number q )- 0)-- Owner's Address PO 1L / L` / 3 hr- 5,' (1 S 33 s3G c 6 ) 3 ��S _ . 71 S f Owner Phone Number Fee Simple Titleholder Na Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS SC1 Li 3 ) S-}- LOT# SUBDIVISION ' PARCEL ID# 1 1 ''' d 19 - -1 ` 0010 - 04-1 00 - O O, © (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ) I � ADD /ALT I I SIGN n MOVE I I DEMOLISH INSTALL I REPAIR PROPOSED USE I> SFR I I COMM I I OTHER I TYPE OF CONSTRUCTION BLOCK I I FRAME I I STEEL I I OTHER I I DESCRIPTION OF WORK Go>wcA- cv q1 -ems ) >1 V s rrN, S1 e - 1-C OL. r S n . 4 ) c- 4 - �' r4.-- act, r,, 42 BUILDING SIZE SQ FOOTAGE J I 0 .- HEIGHT 51 ^,9 c,- BUILDING $ / 7 700 0 - VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ I AMP SERVICE I I PROGRESS ENERGY n W.R.E.C. I I PLUMBING $ I I MECHANICAL $ 6 VALUATION OF MECHANICAL INSTALLATION �j -f ` P ' � ) � v I I GAS I I ROOFING I I SPECIALTY I I OTHER C FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES MIND • BUILDER 9 �\� COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address O� License � # ) ELECTRICIAN A �\ i 19 COMPANY QS,e ka-f.LOe L,1 SIGNATURE (�(/� REGISTERED ' Y / N 1 FEE CURRENT Y / N I Address t‘.(). WtsF ' b) _ Z►W ( ( L 1)51°, License # ' , s3 PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address — C� License # MECHANICAL `' 4przia : 11 COMPANY / ` ��'ilW l SIGNATURE , j ,. ' REGISTERED Y / N FE C R'" Ll1" Address / License # i d j 1 OTHER COMPANY SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N I Address License # 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