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c:, 813- 780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 Building Department Date Received I 3-1 (, — 1 0 Phone Contact for PermrtGn: 4 IIIXIr�: /t ��(( Owner's Name CC J^ j-AC Owner Phone Number I3 01 u S II 3o 1 , O o d. (`1r Owners Address Owner Phone Number 1 I Fee Simple Titleholder Name' Owner Phone Number Fee Simple Titleholder Address I I JOB ADDRESS I SS S 1 U '4( ai vd 1 LOT # SUBDIVISION I PARCELID#I II' 24 II" 0010 - 0(700- 014 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED = NEW CONSTR ADD /ALT = SIGN n MOVE n DEMOLISH INSTALL REPAIR PROPOSED USE n SFR 1 I COMM I OTHER I TYPE OF CONSTRUCTION n BLOCK Ei FRAME 1 STEEL n OTHER I DESCRIPTION OF WORK I Ad4 ♦WO Wrng WC. tt for Cour Wet SI a 4Arn.g3- BUILDING SIZE I SQ FOOTAGE I HEIGHT r'RlI ^,1:4:Ytx4t ixl?7x4X1H tt:nxixxlamul41ttiV 14PVtx?t*43*!a4V#ii 3KRr4V4t4t*IVUa,ig4444,4 mAt 4W4V -,.w,.x....A.X71,4NttV4r4(»r x la tt$14P44Mt Vtt444lq{ 4#114I4in *141*t431 tt41#4tDX tm4rta n BUILDING $ /n, 8 s VALUATION OF TOTAL CONSTRUCTION I ELECTRICAL $ I AMP SERVICE n PROGRESS ENERGY n W.R.E.C. I ..�. I PLUMBING $ f I) po 51 tp I OA n'e. td = MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION O 3 5�.F- 4 4? S F GAS n ROOFING n SPECIALTY n OTHER O �� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO j t i se/ nteil Iarim nllvm:ri t aittai mq lim aa imai � ma„ idemi t rw e a navu�lnast w amemaimit t eimmalamai �matmm tell BUILDER 1 COMPANY I Qy M 4n l„pns 1, 0 X F, / ,j.A c SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT Y I Address k60013 SR Sy Z4Uts 13T41 I License# ELECTRICIAN COMPANY I C C7 C 11 7T7 L SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I 1 License # I PLUMBER COMPANY I SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I I License # I MECHANICAL COMPANY I SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I License # I OTHER COMPANY I SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I I License # I �t!NNtik "fA' : ......:. i....:....' N1461t8Aliti! Efgl! udiH3NiiIHIHNiiHdEHM €11E!4ttHNIkiIHNHkNdS: - ..,.::.. ::...':... :.. ............ �IIttIHINidHili±HNHxidttgllNHtdidl !kNtA7glkttgkk 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 Budding 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. .ttill4 litrEf9g ILIIII IE12 f I:GEk lFHt 1 1tIflMM IHIIIII31313913fltff fftliHilff31HBA 113' lial it ... 3L4Hti1ffiBlialli nitt 3t alliff EIMIEI Y E iftifEf 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 (PIot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW