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a 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ` Building Department nn/� <br /> Date Received 2� Phone Contact for Permitting1431 35 - dl� <br /> Owner's Name GAIA _uN /�.��1i,.� Owner Phone Number <br /> Owner's Address \S V Ir�,a �C t� y-r L� �� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ` <br /> JOB ADDRESS g is 1 SUiM Z.C.L LOT# <br /> SUBDIVISION 501t,( eA .fit l PARCEL ID# �� 2i-�tW"(7� 'r"?-w <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER C� <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME �f rSTTEEEL Q A <br /> DESCRIPTION OF WORK (�� � 1-y �D l.A-,/�- S"i�1-EM <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> �&UILDING $. VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER W �I PANY� <br /> SIGNATURE REGISTERED I(Yj N FEE CURREN <br /> Address Licennss fe# <br /> ELECTRICIAN \ COMPANY C+ G G <br /> SIGNATURE W N FEE CURREN <br /> j YY//N3 " <br /> Address Zi l"IV1-W M62 License# (-2 v(J 1�iFs <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit far new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,StornwaterPlans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot(Survey/Footage) <br />