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813 -780 -0020 City of Zephyrhills Permit Application 1 ( � <br /> /,.� a Fax - 813- 780 -0021 <br /> Building Department <br /> Date Received IMUNIMMII Phone Contact for Permitting - <br /> I ,(cAr i� � <br /> �� '1 <br /> Owner's Name A \ f` ,Ar ' —...— 4 , J j- V; I l i m , Owner Phone Number , 1 I - N... - e l s i <br /> li CJIls/ ". okol- for p - ' 0 ..T 1_trP( gat; <br /> Owner's Address r rx.N a zia Owner Phone Number <br /> Fee Simple Titleholder Name' Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I 1 (X1 F7 L,a- aae.r ) 6 r LOT# UCH <br /> SUBDIVISION AAA V A \01 LyF f'N <br /> ' g,S , 3 -- -..ac-...1 '0'a J 2.1 fig PARCEL ID# I - •; COQ ._ 00 <br /> i7 (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I SIGN n MOVE [ DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR n COMM I OTHER I <br /> TYPE OF CONSTRUCTION n BLOCK r ---- 1 FRAME I STEEL Q OTHER I I <br /> DESCRIPTION OF WORK RQ.plasv q)( 7 1 (7ctfcU_ }1 A r <br /> BUILDING SIZE SQ FOOTAGE HEIGHT ' ' <br /> I BUILDING $ r-j ` 1 1 s CO VALUATION OF TOTAL CONSTRUCTION <br /> F ELECTRICAL $ AMP SERVICE n PROGRESS ENERGY W.R.E.C. <br /> n PLUMBING $ <br /> I MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION <br /> n GAS I ROOFING n SPECIALTY I OTHER <br /> FINISHED FLOOR ELEVATIONS L%p ZONE AREA rIYES n No <br /> =.: --------- 1 c7G tiY\1� V�/iJAI _.. � S ___ <br /> BUILDER ._...._ _..... _....__ \ , COMPANY <br /> ` (7 <br /> SIGNATURE . REGISTERED <br /> — t� 1 Y/ N I FEE CURRENT I Y/ N <br /> Address I it J 2 a� ft.S . ( 4. S License# 1 I <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address I I <br /> License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I <br /> 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> License # 1 Address I 1 I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address <br /> 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 /> -- - -t ._ ... = -- ----- _ -�! =`G_�°: -y w"~W : .... _ .-- :- .,.�,- : .. mow- .. =_ -- = - : -._sue -: : <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 NC Fences (Plot/Survey/Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />