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813- 780-0020 City of Zephyrhills Permit Application I I (4.0 Fax - 813- 780 -0021 Building Department Date eceived I r 7 _ /� Phone Contact f r:emdtti 8/s / r� 88 - 3300 le IMaJ rd!.',_ ' � �'tn� �J Dr 3 . '7, --- 5/ / Owners Name ! '7 _ /� %/ � - �I , ��,A' I_, I / + r Ph a I� Owners Address 3 / �(P / 1'. Q- M � ✓-e -fie Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Add 3 /� ddresss / }� /} i4v..( JOB ADDRESS / ! ry (0 + 7 4t.t.I.R.om .nue, Ze4) ��/ � / /IS LOT # S SUBDIVISION Grand Wor,Zhs PARCEL 34 5 ;I 0oobo -•o79/ (OBTNNED FROM PROPERTY TAX NOTICE) WORK PROPOSED N NEW CONSTR _ ADD /ALT 1 SIGN n n DEMOLISH N INSTALL REPAIR PROPOSED USE 1 ti( SFR Q COMM I I OTHER I TYPE OF CONSTRUCTION n BLOCK Q FRAME 1 1 STEEL n I I DESCRIPTION OF WORK LSe ELI) ' a rdhOr flew mobile /-fo BUILDING SIZE 4:3 A )(J O SO FOOTAGE / O s6 HEIGHT / O / 1 1BUILDING $ ,Aano • QO VALUATION OF TOTAL CONSTRUCTION I ELECTRICAL $ p • 00 AMP SERVICE .Loc I PROGRESS ENERGY n W.R.E.C. PLUMBING $ (t� J ° —° CD N rOFAECHANICAL $ (COQ r CO VALUATION OF MECHANICAL INSTALLATION 1 IGAS ET ROOFING In SPECIALTY I 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 RYES ego '1'1'111111 1'111 '1111'111"1111"11111'11'1111111'1'1111111'1 BUILDER I COMPANY [ j 1 � XC � SLh (I— J SIGNATURE ■ 1 ..'„ . -.daft ' •' REGISTERED r N I V N I Address I o'ZI ave. A Ea 34- GC)Irrle r Hav ij] R 33 Fc License* 1 1 HO0 () 537 ELECTRICIAN SIGNATURE COMPANY Li iii -41 14-t_ `- , RE G ISTERED *J � I, Y/ I CuRREn 1 (Y / N I Address 1 4 I ) ' • • • Fie id l�ioacr♦ a?.ot lee t rIcl Pt 33Sh License # I EC. l ?>( Sit /to f 9 2 / PLUMBER G r. a/_ • • C / / 1� 1 SIGNATURE !A REGISTERED r FEE /N rr�� RE - I � f Address todI Ave. A 6 O l4QUth F 3 'C) License* 1 IH 00o0S31 MECHANICAL / COMPANY 1-171.12,L, A /c SIGNATURE /1/9-01. REGISTERED I CYy N J FEE Ct1RREn ION N I Address 4 r /,' NN F ,. , � • I iz 33 g// License # I C /kw /$1(0'7 OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREr I Y/ N I Address 1 License* I I I I t 1 I 1 1 1 I 1 I I,, I l 1 1 l I I 1 I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I 1 1 1 I I I I 1 I I I I 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, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsAarge 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. 4 I .. .. t 1 1•' i Directions: Fit out application completely. Owner & Contractor sign bade 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 NC Fences (Plot/Survey/Footage) _ Driveways -Not over Counter if on public roadways..needs ROW