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813- 780 -0020 City of Zephyrhills Permit Application Fax - 813- 780 -0021 ' Building Department f, ni,t t_ I ■ • Date Received ■� Phone Contact for Permitting (- - ) ) (UI - 1 17 17 • misu -El •mmmmmmmmm mans mu . Owner's Name Era d, / � � Owner Phone Numbe -- RI —00 .) C0 Owner's Address L OE l P 0 `hol it sp � — _JV■ Fee Simple Titleholder Name Owner Phone Number . _. Fee Simple Titleholder Address 1 JOB ADDRESS �5 ,ii I al kik . LOT # SUBDIVISION PARCEL ID# -)--S - v i ' ) - Ou 1 y - . J L1 , (OBTAINED FROM PROPERTY TAX N ) " 11 — WORK PROPOSED NEW CONSTR _ ADD /ALT I I SIGN (n DEM (iSH INSTALL REPAIR PROPOSED USE n SFR I COMM I I OTHER I TYPE OF CONSTRUCTION n BLACK l � FRAME I I STEEL n II (� , � 1 / DESCRIPTION OF WORK Q o f F+�� n W 1 ∎ C 'c J SQf t 00V i ``:'t` Q J S r , lc"J BUILDING SIZE �[7- 1 SO FOOT ) k\ HEIGHT ` /h �L 1 " — �` LiA le P)2 BUILDING � IJLhJ $ (`� 000 , ( �1 /�. OF TOTAL CONSTRUCTION 1 (ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY n W.R.E.C. nPLUMBING $ / ._. I (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION -rd `_�. nGAS n ROOFING In SPECIALTY I OTHER I • V- FINISHED FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA InYES NO 1 1 1 1 1 1 1/ 1' 1" 11111 1 11 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 BUILDER trip ' 1/ *s , /� SIGNATURE COMPANY fit , •F` 5 &kLk) c ` — _` REGISTERED �q �� -t� � N �y�yr-• FEE CURREN I Y / N I J Address 41 �l ' 11 l�� i,_- "' 1" # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y / N I FEE CURREN I Y / N I Address License # PLUMBER r COMPANY SIGNATURE REGISTERED I Y / N I FEE CURREN I Y / N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N I Address ^� License # OTHER /// / _ COMPANY SIGNATURE / REGISTERED I Y/ N I FEE CURREN 1 Y/ N I r Address I License # IIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIII1IIIIIIIIIIIIIIIIIIIIIIIII1IIIII RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -0-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. J ... 1 1 I ..' 1 V 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