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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 1( �Ict Phone Contact for Permitting 8 t3 gq — 27 <br /> Owner's Name Ta 1or 1�1orrisOT DOrido. Owner Phone Number <br /> Owner's Address N. tt i# 2Cc7 Owner Phone Number <br /> Swro.so4a , FL 3A232 Owner Phone Number <br /> JOB ADDRESS L3�`� s i mans zef �`1�, FL 335A 2— LOT# <br /> SUBDIVISION Tate 045 PARCEL ID# 04—Z('-2�—00CXD—C)0\C)O QCA eJ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = DEMOLISH <br /> _. INSTALL e REPAIR <br /> PROPOSED USE = SFR Q Comm OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL _ <br /> DESCRIPTION OF WORK_ ("1 cnu M S' r 5 x 2 3 x 9 atpPrt',r <br /> BUILDING SIZE SQ FOOTAGE HEIGHT. <br /> ®BUI $ 15, OOO VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = BIKE ENERGY EA W:R.E. <br /> i <br /> =PLUMBING 7 (866 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING. = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> BUILDER COMPANY qS w\ `0V v v <br /> SIGNATURE w/� pp REGISTERED / N FEE CURREN Y'/N <br /> Address �-5 I`/ r`5 &IJA Oldsmar, FL. License# ' C C 5 S97—r7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y`/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/' N FEE CURREN LILN <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_J FEE CURREN <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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,Stormwater•Plans-.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,Stormwater 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 Attorney(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 /> Driveways-Not over Counter if on public roadways..needs ROW <br />