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813 -780 -0020 City of Zephyrhills Permit Application ,/L�,n Fax -813- 780 -0021 <br /> Building Department �`�� <br /> ante Received /O -aa D D <br /> Phone C ontact for P i /3 <br /> 7/ oZ - <br /> Owner's Name W • t Owner Phone Number • 43 4w -9� <br /> ?7 //S}] ' <br /> Owner's Address I/5 ? Nii C US 1 e . I,Tj ,F/ �7 Owner Phone Number <br /> Fee Simple Titleholder Name' Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS 16/35 r' Ay1SE /) Z4# f-/ LOT# / <br /> SUBDIVISION I PARCEL ID# I03 . -' . 0/30.•00000-- 0/410 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> — <br /> WORK PROPOSED NEW CONSTR k'� ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL / REPAIR <br /> PROPOSED USE R SFR 1 COMM n OTHER 1 <br /> TYPE OF CONSTRUCTION BLOCK I FRAME I STEEL n OTHER I I <br /> DESCRIPTION OF WORK ICritrer t SAtita I i ro.lwltt. Lori ei"r- 4\rWlt°.LoQ_ <br /> 11c Su <br /> BUILDING SIZE 1,2y SO FOOTAGE 70 5" HEIGHT <br /> I BUILDING I1 /D� • O3 VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ ! AMP SERVICE I] PROGRESS ENERGY I W.R.E.0 <br /> I] PLUMBING I$ <br /> ni MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION <br /> I GAS I-I ROOFING r1 SPECIALTY 11 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I nNo <br /> BUILDER /" <br /> * *\ ' COMPANY I v "' (: indf LC�0 OP e i ( A �1 <br /> SIGNATURE REGISTERED <br /> //�� ` S 1 Y / N I FEE CURRENT II Y - <br /> / p a <br /> Address / S ' • -1 1. v. - ( ... t 1l g <br /> ' License # I Moos <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED <br /> 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address <br /> 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I <br /> 1 License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address I <br /> 1 License # I <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 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> 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. <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 S5000) <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 (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />