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813 - 780-0020 City of Zephyrhills Permit Application 10 L \ Fax - 813- 780-0021 , Budding Department ,'--) Date Received --! g - I Phone Contact for Perm!tting p 3 I - l 27 p 1 Owner's Name V / Hc (A illy Cl Akira' '` Owner Phone Number r, r3 745 - j 0 Owner's Address I/0 rd 7 / c ..0 ,..,- px. 7)R, 7--4'Ye4 Owner Phone Number I Fee Simple Titleholder Name 336 Owner Phone Number -- Fee Simple Titleholder Address 1.-- ld JOB ADDRESS 2 8/ 0 ‘,4,11/ 3/1 2it/Hy/rH C j= 7, 3 I LOT # I I SUBDIVISION I PARCEL ID# I (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR I I ADD /ALT n SIGN ► t MOVE n DEMOLISH INSTALL REPAIR PROPOSED USE I J SFR I I COMM ® OTHER I I TYPE OF CONSTRUCTION n BLOCK 1 I FRAME El STEEL 1 OTHER ( I DESCRIPTION OF WORK I ft cTit Z d i T4ls — A 4..L., - JC/va ,. "c - /00 •^..r' (;,4 _ - 1 , A ,r s BUILDING SIZE SO FOOTAGE 1 iiUV HEIGHT I / / / ... ...................... ........................... ' BUILDING $ . 6 ✓/ / a Q VALUATION OF TOTAL CONSTRUCTIO / _- ELECTRICAL $ 00 AMP SERVICE * 1 1 PROGRESS n W.R.E.C. n PLUMBING $ Al i • r ` S D F MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION n GAS n ROOFING 1 1 SPECIALTY ( OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES n NO : BUILDER _ r COMPANY I A / . C r- 57�vC"rt °Uti n� SIGNATURE REGISTERED C - N J FEE CURRENT J Y/ N Address ` 1 1 License* ( 0 J ' E EL C cTRI IA --- ---- ) a COM `j . I r I `( �L!' ( SIGNATURE REG Y/ N I FEE CURRENT J Y/ N 1 Address (a� Sc� u � l�v� o f p t ) ) S v It p L - 3�{602 License* I GC 6 300 . .3 4 ii i PLUMBER COMPANY SIGNATURE REGISTERED J Y/ N J FEE CURRENT J Y/ N I Address 1 1 License # 1 MECHANICAL COMPANY I SIGNATURE REGISTERED J Y/ N 1 FEE CURRENT J Y 1 N J Address 1 1 License* I I OTHER COMPANY SIGNATURE REGISTERED J Y / N I FEE CURRENT J Y/ N I Address 1 1 License # I I 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 Attomey (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 NC Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW