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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> - Building Department <br /> Date Received / '! <br /> ` Phone Contact for Permitting <br /> I I 1111111111111111117 <br /> P <br /> Owner's Name Kt 1\1\ gi \ 1 4 Y'1 Owner Phone Number +J I3" d 2 g <br /> " q 3 <br /> 7 L" a 1 � k, Z r ti• <br /> Owner's Address 3 <br /> Ivy « r � �� � � 35y 1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 Ican f IM tCY"I7Fh-1 BAIA , [A itS) F l 3 b5L I LOT # 5 : , <br /> SUBDIVISION ra.‘,■d 1.6a - P IA(Ls I PARCEL ID# -I - 015 — l -bo 0 -bu m Ci <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR x REPAIR <br /> 1 1 SIGN n MOVE n DEMOLISH <br /> INSTALL <br /> PROPOSED USE I 1 SFR 1 1 COMM f>I OTHER Ovin51e re - r'cro <br /> TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME I I STEEL IM OTHER I Q. ' J a 1+ St, 1-0.9 I <br /> DESCRIPTION OF WORK T off okA sl ° S t a 5}a 0 L!E.L '31 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 I BUILDING $ 5E-`�C .0 O VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY 1 I W.R.E.C. <br /> I I PLUMBING $ V <br /> 1 I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / <br /> I I GAS 1 CI ROOFING 1 1 SPECIALTY 1 1 OTHER ' I I qg <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURRENT 1 Y / N I <br /> Address I License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> OTHER /l COMPANY <br /> SIGNATURE s- A./ c 4C/74. REGISTERED 46 N FEE CURRENT D N ■ <br /> Address , 72 tti aiOR v LICE <br /> ,) gaia.k Lynn ar•, <br /> ti 33525 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 />