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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0 21 <br /> Building Department <br /> O <br /> P 'It'' � i J <br /> Date Received 0 P hone Contact for Per Pitting • • / 3C -- 2f f f <br /> r <br /> Owner's Name A ol«)' d- /VA►ie JM; Owner Phone Number <br /> Owner's Address 3 75'1 7 f / f t o w. 4L' G Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 37s7? /2eril'o M 4 y LOT # /// <br /> SUBDIVISION Gf vtc yor;Z44j `j 0.4 PARCELID# .7q 60 9 00 00 - MO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME 1 // I STEEL I I OTHER I4. fep�9!'"►P i2 <br /> DESCRIPTION OF WORK G / 4�0�J I yhremr..1 "• Z � 4 ;IAA/ 1'9 ""IC f; ie <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I I BUILDING $ / /�+� VALUATION OF TOTAL CONSTRUCTION / /o 41. <br /> I I ELECTRICAL $ AMP SERVICE I I P'ISGRESS 1 : - % W.R.E.C. <br /> I PLUMBING $ <br /> OF MECHANICAL INSTALLATION <br /> I I MECHANICAL $ VALUATION A ke,/ <br /> I I GAS 1 I ROOFING I I SPECIALTY I I OTHER ,, & d <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I - / / r �, <br /> 1 IC _ Ep <br /> IY��►, MI 1811/ <br /> _ <br /> BUILDER / , `-/ COMPANY ' + n /0 at it <br /> SIGNATURE REGISTERED ; v ulm FEE CURRENT Y / N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address I 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 (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 $5000) <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 (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 />