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813 - 780 -0020 City of Zephyrhills Permit Application �) ( I - Fax -813- 780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting WM • A -- <br /> Owner's Name i V 1 1 ti am eY bl-11 r \ A n Owner Phone Number S f 3 7 L0741)/4, <br /> Owner's Address y.Sb1 4 r r1- yZ c► FF a ltfi Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS C\,, I � l P /1 r l DI + �` LOT # <br /> SUBDIVISION [Zephyr 1J, -�a - en PARCEL ID# /3 —OCI D' c1 - 0130- (YWO - �( U <br /> r /// (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR �; ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 1 COMM n OTHER I I <br /> TYPE OF CONSTRUCTION Q BLOCK A LT FRAME n STEEL n OTHER I I <br /> DESCRIPTION OF WORK A.A. A.A.1i_ ,_ . / - A l r ' I i / M /` f <br /> BUILDING SIZE SQ FOOTAGE 1 HEIGHT <br /> n BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVICE n PROGRESS ENERGY n W.R.E.C. <br /> Mir PLUMBING $ s r , S1 . s G <br /> F MECHANICAL $ `� VALUATION OF MECHANICAL INSTALLATION <br /> Ti GAS I ROOFING n SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 7YES ITNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # I I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTreR ) 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address 4 ; , V \6 License # <br /> PLUMBER 1 1 1 / i f yo, ! ,, //�'� / � COMPANY R SIGNATURE cc � � � z' 1 REGISTERED c CUR <br /> LW � AN / 1-1-6— <br /> Address Q )5D _ - - _ — _( /I _ _ _ . )L 1 g U J License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # 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/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 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 />