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813 - 780 -0020 City of Zephyrhills Permit Application 1 Fax -813- 780 -0021 Building Department f l l �' 1 Date Re . U - . v Phone Contact t1 Permittin, - Owner's Name f . 6. G !/O/./ `. Owner Phone Num = - - r Z r =- Owner's Address f 427 ultenf!n/, 779 MN y ^ Owner Phone Number Fee Simple Titleholdei ame / Owner Phone Number Fee Simple Titleholder Address 7 ^ Q _,. � ,,- _` JOB ADDRESS 38427 L J to viv.57 +C. Z"sI� LOT # /59 SUBDIVISION 6:H ri PARCEL ID# 62-242/ - A% �O6O00 " /s/a (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR _ ADD /ALT UKII SIGN n n DEMOLISH INSTALL REPAIR PROPOSED USE n SFR n COMM l I OTHER I Sreesgls. TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME I 1 STEEL n 1 ALV/H /Nnio DESCRIPTION OF WORK kW !v 605 7;146 SrozAdE Sob avow ettemaer BUILDING SIZE /PO x az SQ FOOTAGE 13Z HEIGHT b`%0 Td 9se 1 3C BUILDING $ 9.0o. Qo VALUATION OF TOTAL CONSTRUCTION nELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.C. I PLUMBING $ nMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION nGAS n ROOFING I SPECIALTY I 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I (YES NO BUILDER Q� ,�, _ I i ♦ OMPANY r7 a GV/VEI -, SIGNATURE `^44l & 1(/O� • REGISTERED • 1 • Y / Iv ' • FEE CuRREII ' I Y / N I Address a i ` License # I ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address I I License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address I License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I Address 1 License # I I OTHER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I Address I License # 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 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. (NC 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 NC Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways.. needs ROW L 0 L /- o Do &(7c /< k ) 5 6,�� fi5 �+° 1�/i?, T 1 S P' P/