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813-780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 <br /> Building Department <br /> 6 Date Received . - �0 21 Phone Contact for Permitting 0\ 1,3 I . , (05 - 1.5-.5-6 0 1 . <br /> Owner's Name Z ... <br /> �/ All A / <br /> G^I p_►Il 4 1 1 ' LTD Owner Phone Number $(0 3) 64-1- 1 5P l <br /> Owner's Address I P..... 0 P.C. �X 5-•�� {2 f � l t L 3 3g a 7 Owner Phone Number <br /> Fee Simple Titleholder Name J 1 Owner Phone Number <br /> Fee Simple Titleholder Address , / 1 f �? �" � 1S L <br /> JOB ADDRESS (001 ! k 6 O , !� y i b / FL- LOT 1 <br /> SUBDIVISION PARCEL ID# I CZ - ztr - 21 - 0000 ^ 03300 - Oo I 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED n NEW CONSTR ADD /ALT 1 SIGN Q MOVE n DEMOLISH <br /> INSTALL t om / .. REPAIR — ..Kov.F' <br /> PROPOSED USE n SFR n COMM Q OTHER 1 ' RipkX <br /> TYPE OF CONSTRUCTION 11 BLOCK 1 FRAME 1 STEEL n — OTHER I <br /> DESCRIPTION OF WORK re_ - Too /t ,2 o� a r 5 of' 5 611 ) <br /> / <br /> BUILDING SIZE 1 x 3 I I SO FOOTAGE /.Sd / HEIGHT I <br /> 71 BUILDING $ I LiO() 00 VALUATION OF TOTAL CONSTRUCTION <br /> r ELECTRICAL $ AMP SERVICE I] PROGRESS ENERGY Q W.R.E.C. <br /> r PLUMBING $ 4 ../ 1 MECHANICAL $ I VALUATION OF MECHANICAL INSTALLATION 9g4( <br /> I] GAS Iv ( ROOFING h SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES =NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N1 I <br /> Address I License # 1 I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT l Y/ N 1 <br /> Address I 1 License # I I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED l Y/ N I FEE CURRENT I Y/ N 1 <br /> Address I 1 License# I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address I License # 1 I <br /> OTHER COMPANY /4 ' Deal ko /tq T, c.. <br /> SIGNATURE ��`'� ) )] REGISTERED 1 Y / N 1 FEE CURREN L) I Y / N 1 <br /> Address ( 1180 7 r,S Ni! / /D►iJ 1.„.r1 Plant 6:1 3 30? License # I `.CC 1 3 2 L g7ci 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 & 1 dumpster, Site Work Permit for subdivisions/Iarge 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 /> . <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 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 NC Fences (Plot/Survey/Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />