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813-780 -0020 City of Zephyrhills Permit Application ��'ttt�� / /�, Fax -813- 780 -0021 Building Department lC� I/0 ( I Date Received )- -/ (� Phone Contact for Permitting - 4 - , U , Owner's Name / /o4 * DR /7 ) O C.e.vie Owner Phone Number Owner's Address 3•00,57 4JCt/- -57 t' QL= I Owner Phone Number Fee Simple Titleholder Name 1 Owner Phone Number Fee Simple Titleholder Address 1 JOB ADDRESS , �^- ,9 /e T 52 tl AR e. LOT # L 5)J2..L J 1 SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED I I NSTALL S TR I ( REDAIRLT It'' SIGN 1 1 ( 1 DEMOLISH PROPOSED USE I I SFR n COMM 1 1 OTHER ( I TYPE OF CONSTRUCTION I I BLOCK n FRAME I I STEEL 1 1 1 I DESCRIPTION OF WORK A/ l tuat O2 �e4iC V.` 1 / L' Al BUILDING SIZE SQ FOOTAGE 9 HEIGHT I BUILDING $ 364 D DV VALUATION OF TOTAL CONSTRUCTION I / IfzCE $ 6 V 6 AMP SERVICE I 1 PROGRESS ENERGY W.R.E.C. P MBING $ i„ ijdi rECHANICAL $ VALUATION OF MECHANICAL IN�3T,f) ALLATION ,� Q� 1 IGAS 1 1 ROOFING n SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES NO BUILDER - .. COMPANY % �2&-� l_.a �'c - i ----4,e-3 C' I SIGNATURE // .. REGISTERED Y/ N I FEE CURREIN I Y/ N 1 1 Address 3 c 2 0 ear, 2r ,2 . License #C Illy b y/ ` 2 ' T_ / ELECTRICIAN Cam r L�, COMPANY 47 J O 5f� E/ � SIGNATURE Frelimi REG ISTERED 1 a/ N I FEE CURREt I Y / N Address 1 7 71- s.. (4 ! 32 /1 C / .3g5 GJ 3 License # e/eoo l 57 C PLUMBER <e, Le iei COMPANY ,TSSOCit ea P/ICOLL)ve/ •T- 1.02.- SIGNATURE �/ REGISTERED I Y/ N I FEE CURREI' 1 N I Address 0/ 7 / / / afr�0� 'fL( „Sk. MECHANICAL - - � /-/ / COMPANY 5O ✓"r X e.-ti Ca :Z.- -A4. T EL, Z - SIGNATURE /��/,/�/ �/ REGISTERED I Y/ N I FEE CURREN I Y/ N 1 Address 1 /140 g C fZ Lo S C JeJ15 tee License # I CAC i p / $ f OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREI\ I Y/ N 1 Address License # 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. 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 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 I