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813- 780 -0020 City of Zephyrhills Permit'Application <br /> If Ci v'" Fax-813-780-0021 <br /> Building Department Q AAI <br /> Date Received Phone Contact for Permitting E� 9 - - IV • <br /> r <br /> Owner's Namete ante, t< Ur k J Owner Phone Number 1 <br /> Owner's Address 1004 `pr'• / Ii r ( r /, AI S Owner Phone Number I <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address /j/ ' 7 ? ' I J <br /> \Y <br /> , ( C 'f <br /> JOB ADDRESS 1370 . � ( _ U * r C pI 1r 1�4 x. LOT # 1 3s/ <br /> SUBDIVISION && I Orcro ' PARCEL IDS I 'a' +C•1$0 "oo 00 -3510 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED 5 NEW CONSTR I I ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR I COMM n OTHER I <br /> TYPE OF CONSTRUCTION O BLOCK n FRAME = STEEL Q OTHER I I <br /> DESCRIPTION OF WORK IS kd, u <br /> dip s,� � 1� <br /> +Va, SAre �ota • + I <br /> BUILDING SIZE I ` SO FOOTAGE I K • 'dr HEIGHT I <br /> BUILDING $ 3 v Q eilth VALUATION OF TOTAL CONSTRUCTION 3a $zl. • <br /> I� ELECTRICAL $ O AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> I PLUMBING $ <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> n GAS I ROOFING n SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA DYES I1NO <br /> BUILDER 1/ _ Y COMPANY tAtii , .. ,6, 374-144-710 ,4 1 <br /> SIGNATURE / / REGISTERED � Y / N I FEE CURRENNT Y N � p <br /> Address „p V I • IL! ► • - ! I i ii057 ?Ot. I <br /> r _ License # <br /> Pr4 Q 1 <br /> S IGNAT RE r COMPANY I N I FEE CURRENT I Y/ N I ° SIGNATURE .- — t_ a ( 1 REGISTERED I Y/ N , I <br /> Address *Crecy. 1'S3`) Zap *rhall • 1 License # I E Rtbo 2 4 (13 I <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address I I License # I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N l FEE CURRENT I Y/ N I <br /> Address I 1 License # I I <br /> OTHER COMPANY I 1 <br /> SIGNATURE REGISTERED <br /> 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 License # I 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, Stornwater 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 d Contractor sign back of application, notarized <br /> If over 82500, a Notice of Commencement is required. (AIC upgrades over 85000) <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 />