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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received s / --11 Phone Contact for Permittin, p -- Owner's Name 1 cc V t cC C�/. _ Owner Phone Number 7 90-231 -(j2'7 e Owner's Address 18 b 1 h t i Owner Phone Number Fee Simple Titleholder Name Owner Phone Number f Fee Simple Titleholder Address /- JOB ADDRESS 3 815 v v l rl C:k c. LOT# SUBDIVISION U 1\ 9e, C Uv Q PARCEL ID# l)2-a�)1 l 0 Coco 06k \ (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTRn ADD/ALT SIGN n (� DEMOLISH INSTALL l i REPAIR PROPOSED USE n SFR n COMM OTHER TYPE OF CONSTRUCTION n BLOCK I I FRAME STEEL n I DESCRIPTION OF WORK ,-1� 9i aLY)Q a?cu �— BUILDING SIZE SQ FOOTAGE J HEIGHT BUILDING $ VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERVICE f PROGRESS E GY n W.R.E.C. PLUMBING $ X MECHANICAL co VALUATION OF MECHANICAL INSTALLATI N /q$/ q Apo' GAS ROOFING n SPECIALTY OTHER FINISHED FLOOR ELEVATIONS - FLOOD ZONE AREA YES N BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/N I Address License# I • ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRE' I Y/N I Address I License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I YIN I Address I I License# I MECHANICAL 0,0d COMPANY \w--C� A r tc 1�cn l SIGNATURE REGISTERED I N J FEE CURREN I Y N I Address 110 ,t) .(,tutrenkien I License# Cik,‘€■ 60I5 d OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREI I Y/N I Address I License# 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. (NC 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 A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW