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813 -7B0 -0020 City of Zephyrhills Permit Application (0 ( Fax- 813- 780 -0021 <br /> Building Department <br /> Date Received ((1 2— 1 Ip.liir W <br /> Phone Contact for Permitting J 0 <br /> Owner's Name rll p A4 1.s ir-k. OA. S 7 .Si P vh Owner Phone Number 1 <br /> Owner's Address ' )OSb t4,1t fca )L9t y�'Itrl� FLT ?354 Owner Phone Number <br /> r Y <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 13 SC Oq,f Y tkt I Z>: eilyik 1 / • /. . '1 5i I, LOT# <br /> SUBDIVISION I PARCEL ID# ? J 2 S 2., t Co ED 0000 oats <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 1 MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR 1 1 COMM 1 ( OTHER 12 „, ,..A•1 orr, I <br /> TYPE OF CONSTRUCTION [] BLOCK I /n 1 FRAME I STEEL I 1 OTHER I 1 <br /> DESCRIPTION OF WORK AAt\Ue t . / t Ake, nn , pe c f. , oek <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> n BUILDING $ VALUATION OF TOTAL CONSTRUCTION III 7 t VS ! "S <br /> P REf ELECTRICAL $ AMP SERVICE h PROGRESS ENERGY n W.R,E.0 <br /> I I PLUMBING $ <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION A j <br /> ° 1 GAS I ROOFING 1 1 SPECIALTY 1 1 OTHER �Y ` <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ I INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> OTHER COMPANY S,crvu .. 1,\14(.1 (l1ct TT L,.,L, <br /> SIGNATURE (� v REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y / N I <br /> Address ►j <br /> k Q ��..,In. ,''. Q e <br /> C� I , -, e 4 - 3,31.341 1 License# Er /000C`+ <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 /> reci .... ...... ............................... _.........__.........._....._......................................................................................................................................................................,. ............................... <br /> Directionss : <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />