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813-780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 �f Building Department Date Received I i Q 1 v t 7 Phone Contact for Permittin: ' 13 1 - l Owner's Name vvk i r ck V - \ -a- L,'( Owner Phone Number Owner's Address 3 C 6 5 ( 1 g.-t t'` 4 `' C Z- I1 ; / ) ' Owner Phone Number Fee Simple Titleholder Name . Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 3 S k.; l k , / I . LOT # SUBDIVISION C ■ 1 t4 Z IA . IS PARCEL ID# I 1 - 7 (E) Z I - OO/ tJ -- / S G1 O• - 0/70 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN $ $ I I DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR n COMM 1 I OTHER I I TYPE OF CONSTRUCTION I 1 BLOCK n FRAME I 1 STEEL I I 1 $ DESCRIPTION OF WORK ` ‘ f V i / c.-, i Pc 0 311 , 1-c r Ls e V - 1(30 f BUILDING SIZE SQ FOOTAGE $• I '`f HEIGHT I T ILDING $ �r t U 0 au VALUATION OF TOTAL CONSTRUCTION 1 $ELECTRICAL $ l AMP SERVICE I I PROGRESS ENERGY I W.R.E.C. I IPLUMBING $ 1 'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I $GAS 1:p ROOFING n SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 $YES NO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N J FEE CURREN I Y/ N I Address License # I PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y1 N I Address License # �% f OTHER COMPANY ' , �* 7 �� 4.f vim. Rte. SIGNATURE REGISTERED I Y/ N ,I FEE CURREN I Y/ N I Address (26 l 't,1(; I t vi jtt.yk it, ,,., f I 1 License # 1 Cc " 7 CGS 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. / I. Directions: i�, // Fill out application completely. Owner & Contractor sign back of application, notarized Q If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500) ��JJJ ( f' I/0 ** 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 77 .0-/-ff#2