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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received ®" 9 Phone Contact for Permitting ° 3 7 yes- -- g°e 4 <br /> WHIM. - - <br /> Owner's Name I/`t a fICs. N u + Owner Phone Number ‘ <br /> Owner's Address <br /> 5 30 6 S T Owner Phone Number _I '� �'' S <br /> Fee Simple Titleholder Name ' Owner Phone Number ,4-/rNRy )- 3��.z53 - � 3'73 <br /> Fee Simple Titleholder Address <br /> NO � CNit e a etG.n,1u4 Cd - <br /> JOB ADDRESS 3 0 6 f°' S7' 2 '/ 7 4 7 - - - / (1 C. LOT # <br /> SUBDIVISION PARCEL ID# /I '. 4 *' 2 1 —u6f D "-i 33CX - /3 b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN 1 1 MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I V1 OTHER I R3rru1 Ca or — <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME I I STEEL I I OTHER 1 <br /> DESCRIPTION OF WORK / µ ^�� l� free de <br /> BUILDING SIZE SQ FOOTAGE &/ 0 HEIGHT <br /> BUILDING $ 7� O 00 Tic VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENER I I W.R.E.C. <br /> I 1 PLUMBING $ 0. q <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTA • I IN <br /> 1 GAS I 1 ROOFING I I SPECIALTY 11 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES 1 INO <br /> Vi i%%/% COMPANY .�/t°r n+ np Zr C <br /> BUILDER <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address c rYO 5 /•f BSc' `r(& - hief" -lts License # C6C /S'0 73i2- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N ] FEE CURRENT I Y/ N I <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y / N I <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 (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 /> • <br />