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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department c � <br /> Date Received . /0•11- 0 t� Phone Contact for Permitting Q / -- 6154( <br /> Owner's Name 0r A :y{/ /Pp ,.S.soAi /19a✓C4j 6)/1/10 /9-5>, Owner Phone Number <br /> Owner's Address 7(0 %/// O-$ 1 v/ ' !� �r, �� ' Owner Phone Number <br /> Fee Simple Titleholder Name N 9 Owner Phone Number <br /> Fee Simple Titleholder Address / / <br /> JOB ADDRESS �' /S �5, L /S� / yb�7 G /�OS1oM �/ , /,e( e /4 33s `�Z LOT# <br /> SUBDIVISION nl"AN�D ,�IOssoAi �'19Nc1 PARCEL ID# / — '6 a /'02 /gO <br /> I` (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I MOVE I 1 DEMOLISH <br /> INSTALL .` REPAIR <br /> PROPOSED USE I 1 SFR 11 COMM I 1 OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK ti(/i° ) I I FRAME I I STEEL I I OTHER I I <br /> DESCRIPTION OF WORK 7"7Ar f J oA 'S 1 N cr MIS fV /7 so-" RS $ 4 ;4,5h, <br /> -sh <br /> BUILDING SIZE SQ FOOTAGE ...5 0 HEIGHT 8 I j` <br /> BUILDING $ / � / l'j 0 VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 1 1 W.R.E.C. <br /> I I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS " N ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 'YES =NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY / v Jt' / n ' <br /> SIGNATURE �/ REGISTERED I N I FEE CURRENT I Y/ N I <br /> Addres - 'i 4" ' (t O 5f i J( 0/. ,q_..54.31' License # <br /> nnn 4-1-1n, I-1 ■ I- I-1 I-✓- 4 <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 />