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813-780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 Building Department ( o`. 9 Date Received -/ 0 Phone Contact for Permitting al3 9 48 -- aaa , Owner's Name ZAth9R //U5 FOOD , LLC. Owner Phone Number $13- 783 - 8 99 Owner's Address tows (AU- 6WD. ZcP#). Ft 3 ,35a Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address 7 JOB ADDRESS (ODDS t, *' &U' ' Z I PL 33 S ya LOT # SUBDIVISION PARCEL ID# OS — 001 /4900 r yJ (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT SIGN 1 1 MOVE 1 1 DEMOLISH INSTALL REPAIR PROPOSED USE h SFR COMM n OTHER 1 I TYPE OF CONSTRUCTION 1 1 BLOCK 1 I FRAME I I STEEL 1 ---..... OTHER �� `� �rzp� ...rr� , DESCRIPTION OF WORK f ✓I ^it 3 5e7l OF G�N'AIV4 ten S �'* GD 404049 o I t CA S ID iiiTYPAS ,w /J D31D )Q BUILDING SIZE 4'a 1 X 9Go' SQ FOOTAGE y HEIGHT / (� �JOP% BUILDING $ a 5M* co VALUATION OF TOTAL CONSTRUCTION 11 ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 11 E.C PLUMBING $ (, c ' C- Y I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1,31_,� 5V----1 " I GAS I 1 ROOFING 1 1 SPECIALTY I 1 OTHER I JO G i FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES QNO \Si' BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N 1 Address License # ' ' LECTRICIAN 1 ,-- ��h t' (� COMPAN IGN•TU c`3{ '� _ -ED I Y/ N 1 FEE CURRENT I Y / N 1 Ad dress 1 (License # j 8(3 -7 z r _ ._—_ PLUMBER COMPANY SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N 1 Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y/ N I Address '-. License # OTHER 1�� COMPANY APPt4 S) 4) y L &4) /iV6' 1,16 W C SIGNATURE ` REGISTERED 1 (7) N 1 FEE CURRENT 1 a.1.1 N I Address /40.35' !U. Doc " ,e / at 7 'I ' License # GSM /I8/c 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 ,,,,e 4