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813-780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 Building Department • Thate Received TIC r rr Phone Contact for Permittin \Ar . M h s t Owner's Name c ► � 4 -4. Owner Phone Number I 3 _ ?�,'1Q • Owner's Address 3 6G> C Ave Owner Phone Number J Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address /� JOB ADDRESS 3 642 O 5'44) A )€, J f� LOT # SUBDIVISION PARCEL ID# / 1 - 2 ( p,`" O A t C Y [I, OO - cO (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED L I NEW CONSTR ADD /ALT 1 SIGN n n DEMOLISH INSTALL REPAIR PROPOSED USE n SFR n COMM [ 1 OTHER TYPE OF CONSTRUCTION n BLOCK n FRAME 1 I STEEL 1 �— I- DESCRIPTION OF WORK Ale, �'s a en 1 Z 5 mi �S 5 �G� H .,�01, 4 sy l YGI'� BUILDING SIZE SQ FOOTAGE HEIGHT ` J []BUILDING $ VALUATION OF TOTAL CONSTRUCTION []ELECTRICAL $ AMP SERVICE n PROGRESS ENERGY Ti W.R.E.C. [] PLUMBING $ IX MECHANICAL $ / 9. OLU VALUATION OF MECHANICAL INSTALLATION ^ I IGAS ' 1KCJ7 ROOFING El SPECIALTY 1 OTHER FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA []YES NO BUILDER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURREr 1 Y/ N 1 Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 Address License# PLUMBER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 Address y� License # MECHANICAL (� COMPANY Aductti,ed Air S6 1 () r7 al ,J SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N 1 Address 554'3. 'C _ cr,erS 3 301 License# CAC /8 / Y�Z� ' OTHER COMPANY SIGNATURE REGISTERED 1 Y / N 1 FEE CURREN I Y/ N 1 Address License # 1111111111 11111111111111111111111111111 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 onsite, Construction Plans, Stonnwater 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 $7500) 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