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J • # 813 -780 -0020 City of Zephyrhills Permit Application 40 7 Fax -813- 780 -0021 Building Department p p a Date Received ' '19 Phone Contact for Permitting t e 7) 7 / 3 (3 7 6 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 imp' 111 1 1 1 1 I r l r -4_1_1_ Owner's Name Ph, I l ; P f`(1 , c Y) (IF l l Ac . Owner Phone Number I 13 - (e to I Owner's Address LI 4 ck.4 \ b\ Owner Phone Number 3,1_,.3 -' 1 3 `�' J Fee Simple Titleholder Name ( (a Owner Phone Number Fee Simple Titleholder Address flint_ l� JOB ADDRESS Lp (b l 0-t I I eD. LOT # SUBDIVISION PARCEL ID# h 3 --,)4 . j a► - ID __ on i co -001 1 -" (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW C• - ' j ADD /ALT 'Fla SIGN f n DEMOLISH INSTALL 1M REPAI PROPOSED USE Q - WV! C►, M �2/ •THER 1 I TYPE OF CONSTRUCTION I BLOCK n FRAME NM STEEL n I I DESCRIPTION OF WORK 1 YI --e.0 m O r re___�oc I BUILDING SIZE ir, SQ FOOTAGE I4E D HEIGHT S nck 5 , I �UILDING $ pG VALUATION OF TOTAL CONSTRUCTION g ELECTRICAL ' AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. nPLUMBING '`/ $ de, ... 6 [] MECHANICAL VALUATION OF MECHANICAL INSTALLATION 9 3 5e4 - - 1 11 vN - nGAS 1 1 ROOFING n SPECIALTY 1 I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES 404 U 1e3. ~ r j Q hCC • BUILDER .�- -- COMPANY F�TuC S Ti C Co iN lr vC ; O� ) I VIC SIGNATURE L` REGISTERED 1 Y/ N I FEE CURREI\ 1 Y/ N Address I a-3 LO • Mac c \, Q • i\CCOrkt CL., fl 34 License # C ()1.4,' to - 3 C q- SQ ECTRICIAN 3 _ OM PANY . GNA T_W3/.E- --- 1 TERED 1 Y/ N 1 FEE CURREN 1 Y/ N Address` License.,# ^ PLUMBER a 4- I C j� ' �' COMPANY SIGNATURE r 7 REGISTERED 1 Y/ N 1 FEE CURREF 1 Y / N I Address License # I MECHANICAL COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN I Y/ N I Address License # OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N I Address License # 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 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 $7500) ** 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 if shingles Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways.. needs ROW