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813- 780 -0020 City of Zephyrhills Permit Application —.. ....... . -- - — Building Department r� Co ate Received /7 /0 Phone Contact for Permittin e J 5 2 S1/ - u £L 11 / Owner's Name (lGk 6L - To a i° 3 Owner Phone Number S 13 `8 '� 0 t' 1/ Owner's Address 39 1 1 D (� -1 Q T� i) - Owner Phone Number I Fee Simple Titleholder Namel I Owner Phone Number I Fee Simple Titleholder Address I JOB ADDRESS I 3 C i 1 0 q 7 t o L `'e nlArh 1 I l s I LOT # 1 J hh I SUBDIVISION PARCEL ID#1 )p t -- c;2 D -cal-Doti 3 -06060-6610 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED I I WSTA ONSTR I I ADD /ALT REPAIR 1 1 SIGN Q MOVE Q DEMOLISH PROPOSED USE n n SFR I I COMM OTHER I I TYPE OF CONSTRUCTION I BLOCK I I FRAME n STEEL n OTHER 1 I DESCRIPTION OF WORK 1 h CA-1 J e._ O (;1t- A 1 C € &i e. NN..) I I BUILDING SIZE SQ FOOTAGE HEIGHT I I 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION 1 ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY [ W.R.E.C. PLUMBING $ L J//, i VALUATION OF MECHANICAL INST LATION < � - / / MECHANICAL $ t f r� D 6 ©b Oj I I GAS I ROOFING I I SPECIALTY r-- OTHER 6G FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA I IVES 1 'NO COMPANY I I BUILDER FEE CURRENT Y / N 1 SIGNATURE REGISTERED i YIN Address I 1 License # 1 l I ELECTRICIAN COMPANY I SIGNATURE I REGISTERED l Y/ N I FEE CURRENT I Y/ N I Address 1 License # 1 1 • PLUMBER COMPANY I SIGNATURE I 1 REGISTERED 1 Y/ N I FEE CURRENT I Y/ N Address I 1 License # 1 MECHANICAL COMPANY I--CO -l. f�MV CO w, SIGNATURE I&Lyosetul - l REGISTERED l Y/ N 1 FEE CURRENT l Y/ N l Address 1 T/ 4t3 f 0 K65 B511 r1, 335111 License # I CAC- l &' 1 3 S 7 , OTHER COMPANY 1 SIGNATURE I I REGISTERED 1 Y/ N I FEE CURRENT 1 Y / N Address 1 1 License # 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) 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 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 $5000) ** 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 Sewers Service Upgrades NC Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW