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813- 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 Building Department Date Received g..(6' 70 Phone Contact for Permittin! — Owner's Name 4 r ! ,a • O • 6 • It Alk Owner Phone Number r, - 1 —( 44 / Owner's Address 5a 5 I 644/1 at. r eect- Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS ' 61 � -$-k 3T ( r+ Z H 4- I LOT # SUBDIVISION 1 ' PARCEL ID #t \ 1 & (o i col ° i3 lm OI 3 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR n ADD /ALT 1 1 SIGN [ 1 1 DEMOLISH INSTALL I I REPAIR PROPOSED USE 1 I SFR I COMM 1 1 OTHER 1 1 TYPE OF CONSTRUCTION I 1 BLOCK ( n FRAME 1 1 STEEL 1 1 I DESCRIPTION OF WORK �'. iC '-} lr i,(,)r 5c-)td BUILDING SIZE la )(-(34 SQ FOOTAGE HEIGHT --- BUILDING $ 100 33 VALUATION OF TOTAL CONSTRUCTION 1 'ELECTRICAL $ W l � J AMP SERVICE 1 ---- 1 PROGRESS ENERGY n) W.R.E.C. 0 0 ( IPLUMBING $ l ,c, f a9 1 'MECHANICAL $ VALUATION OF MECHANICAL I TALLATIO 1 I GAS n ROOFING I SPECIALTY 1 I OTHER L t V I P -1 '1c:. i • : r` i• FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES NO f ,t • ; BUILDER ; ` �k „ t t COMPANY ' C) '\IJVC - SIGNATURE V (2,A)004•104%—.) REGISTERED I Y/ N 1 FEE CURREN 1 Y/ N I Address I License # I ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURREI 1 Y/ N I Address 1 1 License # I PLUMBER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ Ni I Address License # I l MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N J FEE CURREN I Y1 N 1 Address 1 License # I OTHER COMPANY SIGNATURE REGISTERED I Y / N 1 FEE CURREN 1 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. a Owner & Contractor sign back of application, notarized -V r^ 'v` (. t 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) 1 t ` F . ( , , Reroofs if shingles Sewers Service Upgrades NC Fences (Plot/Survey /Footage) ),/ 'i VI i ; Driveways -Not over Counter if on public roadways..needs ROW