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813- 780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department - 0 /D Date Received 4 �6 _ '12 Li [e.�J J Phone Contact for Permitdn �1 cTl 1 Owner's Name r' v _/ Owner Phone Number fr ^1 4 , 0 Owner's Address 1 6 L l C9441 d1. ephy IkS Jut Owner Phone Number Fee Simple Titleholder Name I "f I' Owner Phone Number Fee Simple Titleholder Address ,(� �y�p� JOB ADDRESS ///1f5...��tJ�.��.�r7 I p - QTII V"r • t 1Ipollir as LOT # CO Q(J SUBDIVISION 0 _f �v �ILkS I PARCEL ID# I I Z 6 ZI 0010 14000 - 00 I (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED n NEW CONSTR n ADD /ALT ® SIGN n n DEMOLISH INSTALL n REPAIR PROPOSED USE n SFR n COMM I I OTHER I TYPE OF CONSTRUCTION I I ////rn```` n F n FRAME � STEEL . 1 I DESCRIPTION OF WORK 1 AC On01 Cit. 5 TON IS � OVIit V I IJ . BUILDING SIZE I I SO FOOTAGE, HEIGHT Of lit nBUILDING $ VALUATION OF TOTAL CONSTRUCTION /./ 61 nELECTRICAL $ AMP SERVICE n PROGRESS ENERGY In W R.E.C. / nPLUMBING $ 1/ 9 in MECHANICAL $ r 10 00 VALUATION OF MECHANICAL INSTALLATION O � ___ nGAS n 1 ROOFING n SPECIALTY I -- 1 OTHER V FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA nYES NO BUILDER COMPANY SIGNATURE REGISTERED 1 Y / N I FEE CURREN I Y/ N I Address I 1 License # ELECTRICIAN COMPANY I SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I Address I 1 License* PLUMBER COMPANY 1 SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address I License # MECHANICAL COMPANY I I LI. .1 G I / / A g h L SIGNATURE REGISTERED ® FEE . n m/ Address 1 sum-C W cetyl 'U1g1UJ (1* I License* entalt1q V OTHER COMPANY 1 SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N Address I License* I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 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, StommNater 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. -1-4-1-11-1-1-i-1-• 1 • • • I 1 1 1 . 1 • • 1 • • 1 • 1 " 1 " 1 1 1 1 1 1 . 1 1 1 1 1 6 4 - 1 - 1 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over 82500, a Notice of Commencement is required. (NC upgrades over 87500) 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 A/C Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW