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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received /".-- /° 42 7 Phone Contact for Permitting -- <br /> 111111111111111.1111.07 <br /> Owner's Name !�� -1-��,. ee55��1`--- Owner Phone Number <br /> Owner's Address 61 0 to (x,sst..rUV et e iv- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address , ` z �/' • <br /> JOB ADDRESS (9 - ) 0 �0 e w C f r ZCLI Vif111 1 I/ F( ✓ 2. LOT # <br /> SUBDIVISION PARCEL ID# Q) v2-Eo - 21 " d Z 1 (S -00o O v - J t{ 7 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEW CONSTR I I ADD /ALT 1 1 SIGN 1 I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 11 COMM 1 1 OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I I OTHER I I <br /> DESCRIPTION OF WORK P- e r Go 'i' �/ a 3 o �PAG ,_ f f J If <br /> BUILDING SIZE SQ FOOTAGE I / T7 S HEIGHT <br /> I I BUILDING $ _3(443 , 3 3 VALUATION OF TOTAL CONSTRUCTION <br /> :J <br /> I ( ELECTRICAL $ AMP SERVICE I 1 PROGRES Y F W.R.E.C. <br /> I I PLUMBING $ - 4_ (72 <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I I NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED L Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> OTHER " .__ -- ---- <br /> COMPANY SU / / -41 r `' /) <br /> SIGNATURE r � /�, is. / REGISTERED I Y / N 1 FEE CURRENT I Y / N I <br /> Address Y n l3OX (I& �4 (..% Y/�IVt 1 ' ( 333-7 6 License # I cc( c 7 , 1 7 <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 />