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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 J f 2 l '1 I Building Department / Date Received 12 L b a I a 954 -7 0e- 946 �— � V Phone Contact for Permitting 3 9a1 _ Owner's Name t O4•41/I/L4 A/ Re 1 j I..I. Owner Phone Number IO" CO 7- 51 Owner's Address 7a s c,,A5 1,40_(4.0 iefia &4 r ner Phone Number ICI /' d ,n- down Fee Simple Titleholder Name I Owner Phone Number 1 fir- 7.31- 473 � •{I Fee Simple Titleholder Addres ` JOB ADDRESS '�74 -1 '7 6-0.1\ (� r/' 1/el • 2e? (V;) Is FL 33591 LOT # _ SUBDIVISION PARCELID# - - ( 3S_ 2S- 2-- I- botO- 688°6.. l ) t (OBTAINED FROM PROPERTY TAX NOTICE) vOOQ WORK PROPOSED NEW CONSTR (ADD /ALT I ,/ SIGN n n DEMOLISH INSTALL R PAIR PROPOSED USE n SFR COMM I OTHER I TYPE OF CONSTRUCTION BLOCK FRAME - I � STEEL n I I DESCRIPTION OF WORK VQM1 z 7 ; O4 e xl ' ' s po..e t- / kite - Mace - � k " `- - 'M 0� /, iy i +'% ) '_ o 1' , BUILDING SIZE y 3 Goo SQ FOOTAGE a s f3' Q 11. HEIGHT Okb E1BUILDING $ 5 O00 VALUATION OF TOTAL CONSTRUCTION 4 a 5000 . , o r 1 ELECTRICAL $ �1 W > MP SERVICE $0O I I PROGRESS ENERGY n W.R.E.C. V 1 PLUMBING $ Ia- ' , o00 5 - (4) 0 [ _. � I Z ' 17 -tO / / , • ,: n CD MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I, / O I IGAS n f ROOFING 0 SPECIALTY I 1 OTHER "r /✓ je , V //""�� _ ^ - FINISHED FLOOR ELEVAT ONS FLOOD ZONE AREA I IVES N • ` �,yJ� / ' /)y ` I • ~ r l / Q y � � 1 y LArli L q OT 1) - , ■ 3 1C—(6)1(1 8" / Y►NCtrrH NlA t 0 BUILDER ,� REGISTERED I Y/ N I FEE CURREN I Y/ N I ,.on - COMPA t C. v Z Vv L SIGNATURE Tyr ,.1 n_ • Address 5• Wag �- - License # V 70443 e �` J `'v AttA LECTRICIAN 4, COMPANY �•°'t �,JUttt4 ��7 Ifl 0 � � � IGNATURE e REGISTERED I Y/ N I FEE CURREN I Y/ N I // C ( 56 Address License # I A Al, BER i i'r'k C. PANY I are 4 tri 1 „� { " SIGNATURE �%/' REGISTERED I Y / N I FEE CURREN I / N I �� /// Address I 1 License # MECHANI L COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I S t /� 1 Gx Address License # llw i �i OTHER Se e_ r„ 1 M �"` 4 � �� SIGNATURE • °` REGISTERED I Y / N I FEE CURREN I Y / N I Address License # 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, 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. •., 11 1 11•••• •1••• 111 ••••1•••1121•11•14•••2•.1••••1 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