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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 Building Department Date Received 11- 0 / 0 Phone Contact for Permittin! 5'13 L/77 - 5 2 5 C Owner's Name _ L. 1 Ma A %S . L e Owner Phone Number g)3" 7n S7c)/ Owner's Address 347V Cl.IJQns Tyra is 1 Owner Phone Number Fee Simple Titleholder Name 2 r Owner Phone Number Fee Simple Titleholder Addres .7 2 JOB ADDRESS 9 L ] `L.'flQhS 'Cats LOT# Co/ It (4-- SUBDIVISION 5fepLeh4 C1 JQMaT si PARCEL 03 — Z[- a1 - (:)/SO - d00 -0 (0)0 ev (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR _ ADD /ALT 1 1 SIGN I n DEMOLISH INSTALL REPAIR PROPOSED USE n SFR I 1 COMM I I OTHER I TYPE OF CONSTRUCTION n BLOCK n FRAME 1 1 STEEL n I DESCRIPTION OF WORK Ike f1OJC ,t l+ S t i InSle r 0 4 cfr I n SiA II A-1 vAi i Neat S L ; 05h 2 g BUILDING SIZE SQ FOOTAGE 5-000 lea - HEIGHT Z S FT I c tot? nBUILDING $ ZS/ 700 VALUATION OF TOTAL CONSTRUCTION ,J 1 (ELECTRICAL $ AMP SERVICE n PROGRESS ENERGY n W.R.E.C. 1 (PLUMBING $ (0..1,..0 G nMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / !/r 1 C k , 1-42&. GAS N ROOFING n SPECIALTY 1 1 OTHER v I eed FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 YES NO i �� BUILDER Ch ris / 6A' N �4' COMPANY A him A T j ft Roofers I f (. SIGNATURE G / - '''-/11/1 _ REGISTERED I Y / N . 1 FEE CURREN I Y / N I Address 1 333 %.4 Pk vvl3 ✓i Q p A/ A - In License # I C. CC I3LS7/ 7 l ELECTRICIAN IA M pa i Ft_ 3 3 v 11 COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address I License # 1 PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address I License # 1 MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y / N I Address I License # I OTHER COMPANY SIGNATURE REGISTERED [ Y/ N 1 FEE CURREN I Y/ N I Address I License # 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. (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