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4+ I °iµ8 813-780-0020 City of Zephyrhills Permit Applia lion Fax ao 0021 Building Department/ 71 Date Received 9VI 1V � v Phone Contact for Perm , n (,¢ �U — 6. 9f . - Owners Name W PJ ) s I Id , 0 • . r Phone Number , ►';• jM l '— 5 Owners Address 16 V,027 S7 ( .Q4 % �� 2� lam/ 1 Owner Phone Number 17> /3 Y6 9- 7 j 1 Fee Simple Titleholder Name Owner Phone Number 1 I Fee Simple Titleholder Address I JOB ADDRESS I /D l a G I 'TC /4 f h 4 7 e y t ) /Y/$ / T / 1 LOT* SUBDIVISION Wi°4 S PARCEL ID* 63-026 ara /R 7/66. �z� - 6 s I WORK PROPOSED j , if NEW CONSTR ADD /ALT r SIGN (J n DEMOLISH INSTALL REPAIR PROPOSED USE SFR Q COMM r OTHER TYPE OF CONSTRUCTION BLOCK Q FRAME r STEEL I I DESCRIPTION OF WORK 164ril< JOM op S!'r.C'Jii r0 t' 00/ ANAL J I BUILDING SIZE ) ? Y 15 SQ FOOTAGE /5o ' I HEIGHT I F 1BUILDING $ VALUATION OF TOTAL CONSTRUCTION VO0 . b 1 ELECTRICAL I$ AMP SERVICE 1 PROGRESS ENERGY O W.R.E.C. r1PLUMBING $ V MECHANICAL II $ VALUATION OF MECHANICAL INSTALLATION V ` f/ (D k p k J A v e t 1 Q ROOFING Q SPECIALTY r, OTHER r2 - 7.04 ( r FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA [ NO IIIIIil11111111111111i111 1 A . 1 1111111111111111111111 pce 1 111111 BUILDER d COMPANY I ( -- { UC.. U I't uC ,/ f' c v (� �7,/ SIGNATURE REGISTERED I Y / N FEE CURREN 1 Y / N Address 11 S l 411 a 1 l ot • Del 0 . ..t /I License* I ' b/Qf) 7 t) I ELECTRICIAN COMPANY 1 SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address I 1 License * I PLUMBER COMPANY 1 SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 yin, I Address 1 1 License * 1 MECHANICAL COMPANY I SIGNATURE REGISTERED I Y / N I FEE CURREN I Y/ N I Address I 1 License * OTHER COMPANY 1 SIGNATURE REGISTERED 1 Y/ N l FEE CURREN I Y/ N I Address 1 I License* 1 I 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, Stonnwater 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 onslte, 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. 1 "" 1 1 " 1 1 1 1 1 1 1 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (NC 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