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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 Building Department Date Received • 3 _ V C )81111 . / Phone Contact for Permittln Owner's Name fl Owner Phone Number g 1 -` ? w `l s6 Owner's Address 3G Qk Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 3 6 0 1 5 (Lb U LOT # SUBDIVISION PARCEL ID# 19` - L (1)Of - rcc•- o (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ri ADD /ALT 17 SIGN n DEMOLISH INSTALL REPAIR Koof PROPOSED USE Ix I SFR I COMM I I OTHER I TYPE OF CONSTRUCTION j BLO I FRAME I I STEEL n 1 DESCRIPTION OF WORK S OR - CQ -Cai& CA-4 � t rt e I CS BUILDING SIZE SQ FOOTAGE 11 (oD HEIGHT ®BUILDING $ 50 'C) a J0 . Q VALUATION OF TOTAL CONSTRUCTION 1 'ELECTRICAL $ AMP SERVICE I I PR RESS ENER99Y �' W.R.E.C. I 'PLUMBING $ 114' 1 'MECHANICAL $ VALUATION OF MECHANICAL INS ALLATION 6,x 73 1 'GAS ROOFING n SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES NO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address ( I License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address I License # I PLUMBER COMPANY SIGNATURE REGISTERED I Y / N . 1 FEE CURREN I Y/ N I Address License # I MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N . 1 FEE CURREN I Y/ N I Address I 41111 II I License # I SIGNATURE ,.� 7 COMPANY e K.(��,v, , . � 1 / I I � REGISTERED I Y/ N j FEE CURREN Y/ N Address ') I 1 s f l 54- • • li (11 S I License # CC-C— f Z S 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 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