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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting -- <br /> 111111It11I1t1ILail <br /> A 1 <br /> Owner's Name 132v.C L - /A? 0/ 2 LL Owner Phone Number <br /> Owner's Address Y Q 3 Si L LI/6'- o /4 /J (- 1 't.-. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 3 JOB ADDRESS (p Y© 3 S !L b E/- 6 4 -r 5 D, LOT # 1 0 <br /> SUBDIVISION S %I- b.''&' - 0 /9- f f 5 PARCEL ID# r 2 J 2 i -21- O i Z O / - o d o op °'/ et <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR Ffl. ADD /ALT I I SIGN I I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 I COMM I 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME I I STEEL I OTHER 1 I <br /> t 1 <br /> DESCRIPTION OF WORK 9( 0 ?X 511)/4.- ze 5 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I I BUILDING $ 3 "v VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I W.R.E.C. <br /> 1 I PLUMBING $ /� <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ( y �� (y i <br /> .f ._ ... _..__ <br /> I I GAS 1 � N. <br /> OOFING I I SPECIALTY I � OTHER /,, <br /> — <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES II NO /)� s� `' S <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT I Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> OTHER ,- COMPANY G -4+ vr' ,) £ ©a x=1,11 6---) SIGNATURE C!%2 4 REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address ! Z' ,Z 0 l---- ) 3 4 3 pc J L-- , _5 3524 License # /2 C c o % 61 y, <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 />