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813- 780 -0020 City of Zephyrhills Permit Application Fax - 813 -780 -0021 Building Department t 7 / p Date Received Phone Contact for Permittin 7 �/ �[ / 7 -54:7 / 1 Owner y�,� s Name 1 4 Y Ciro 5+ Owner Phone Number 1.13 - 743 2 5 y�r Owners Address b a ' LA S r e r 1 . X fl Owner Phone Number Fee Simple Titleholder Name 1 Owner Phone Number Fee Simple Titleholder Address I JOB ADDRESS y 60? G 1, J ; s4-e r ► e prt Ze ehy 1 IN% Ws R. 33 sya LOT # I SUBDIVISION PARCEL ID# 15 - a b - 21— O Ib 0 - 0 0 000 — 03S° (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED L 1 NEW CONSTR ADD/ALT I 1 SIGN n n DEMOLISH INSTALL REPAIR PROPOSED USE El SFR n COMM I I OTHER I TYPE OF CONSTRUCTION I BLOCK El FRAME r STEEL Q 1 DESCRIPTION OF WORK pi gee 14.0 gq 11 0 H? Clef W q4-4. / f 4ea4 -ev BUILDING SIZE SQ FOOTAGE HEIGHT nBUILDING $ VALUATION OF TOTAL CONSTRUCTION flELECTRICAL y AMP SERVICE 1 PROGRESS ENERGY n W.R.E.C. I (PLUMBING S 0 0 [1 MECHANICAL S VALUATION OF MECHANICAL INSTALLATION I I� ROOFING 0 SPECIALTY I 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO BUILDER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREI 1 Y/ N 1 Address I License # ELECTRICIAN COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURREI. 1 Y / N 1 Address License # PLUMBER COMPANY I1 e p�v sslbl1s .*NC SIGNATURE REGISTERED (V) N 1 FEE CURREF 1 N 1 Address /4Q S.Yit) /1P Sr 8U,1nce(( /t 39//0 License# 1 FC 65" 9.‘1 MECHANICAL COMPANY I SIGNATURE REGISTERED I Y/ N 1 FEE CURREN 1 Y/N 1 Address License # I OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREF, 1 Y/ N 1 Address License # I / IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 111111111111111 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/ Sift 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 S7500) 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