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813-780 -0020 City of Zephyrhills Permit Application ax -: c' -0021 Building Department .......... Date Received 2.6 -- /e Phone Contact for Pe fitting tip ■ ;- -- icy/L/5 A Owner's Name F O IV , QCt L - LC 1 Owner Phone Number � 6, 3 CA-(/ ___— Owner's Address Owner Phone Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS & 03 6- -?/ /3/ 1») 3 106 LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I 1 I 1 DEMOLISH INSTALL REPAIR PROPOSED USE L 1 SFR I I COMM I I OTHER TYPE OF CONSTRUCTION 1 I BLOCK I I FRAME 1 1 STEEL 1 1 1 DESCRIPTION OF WORK iZe u15/OA / (49 P ,-,-n C BUILDING SIZE SQ FOOTAGE HEIGHT (BUILDING $ VALUATION OF TOTAL CONSTRUCTION (ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I I W.R.E.C. IPLUMBING $ *4- l (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION e/'`-'1 ' t;l /t1CJo (GAS I 1 ROOFING I I SPECIALTY 1 1 OTHER 3 5 � (D FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 jYES NO I r BUILDER Of COMPANY 1 /66/6' t ri 50 f'- iI) ti L AAA, SIGNATURE / - ^---C — REGISTERED 169 N I FEE CURREN I Y / N 1 Address c26,0 6,3 E. (//yAkittA (': i F L. License # & ( /5 '/t)56 3%; J ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y / N j FEE CURREN I Y/ N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y / N 1 FEE CURREN I Y / N I Address License # OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 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 requ (A/C 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