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813- 780 -0020 City of Zephyrhills Permit Application Fax - 813 - 780 -0021 Building Department -- �/� � Date Received � , • & / Zo f IO Phone Contact for Permitting 7P- / ` 7 -- ` FEtttlltttHEFttI� !EtE :.................... ......L.............,.......... .... i L...L................. .. ......... .......:::� ::::......... Owner's Name I '—(2)/■,) .i 4 Owner Phone Number i3 f - J 78 _Z {7 Owner's Address 6 70 q / 3 6 e & Owner Phone Number 0 - S ' 5 7 - / 7 Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address )1 r r JOB ADDRESS 1 5 70 LI ) 6 5 e�--L Z epL v4 I I S ) P j 3 writ :+ Z- T # SUBDIVISION -1l, 4_ zepL rL (I S PARCEL ID# ICI —2 4 ii 00/0-0 E5300 COO 1 1 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR r ADD /ALT I I SIGN I I MOVE I I DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR I I COMM I OTHER r"l'-'=� .. -1-- --�1ii■ TYPE OF CONSTRUCTION I 1 BLOCK I I FRAME I I STEEL 1 1 OTHER 1 I DESCRIPTION OF WORK 11- v FT CAA-net e0u Off `7 t- BUILDING SIZE SQ FOOTAGE HEIGHT I J BUILDING $ VALUATION OF TOTAL CONSTRUCTION I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY , - - I W.R.E.C. PLUMBING $ (} I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r %' �,E;oC i I GAS I ROOFING I 1 SPECIALTY 1 1 OTHER .___._ FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 1N0 €t€t tfttt :.::.. : .......:.,::.:: ' - ..........:...:: ... : .. ... .................. .......... ............................... ... BUILDER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # Q� MECHANICAL A. ( te % f� , COMPANY i� (...46=-1-0-17:4-4 4' ( z ? —1dClc SIGNATURE 1 REGISTERED Ci N ■ I FEE CURRENT I Y/ N (( V I Address 3 3 y(S N $J - f License # 6 01 d - /Z -414 / 616 G i OTHER COMPANY SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y N I Address License # I ..-1.""-:':',.. ::. - ..... .... . ... .• . tttttftfftl}t ttttttttttttftftftittttttttgttti ''' : - : _' .i.... ? ..::.ei i __..EliNgfilftMINgillffttiffltEtt 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. ifitftim: ' Ti : : . :! =: : ...�..'''''.;..... ! ......... ........... .: u.... ... ...... p ......... , .... . .. . :::... .::.::: td:: r:::r........... ....i...... ,” % .. . ........ . . ] .. ..... ... ....... 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) Reroors Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW