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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department J 1.3 (1 4 oq (f , <br /> (VJ <br /> Date Received 3 — 20 -o - Phone Contact for Permitting - <br /> III IIIII III 1111111V <br /> Owner's Name t! .r/ A)O/ L ,64&K Lv W X ° Owner Phone Number $ 3-786 9& <br /> 3 8 �T� E.G (/RC{.E Owner Phone Number S/ —2 / -2 2 <br /> Owner's Address � <br /> /96 E nr r <br /> Fee Simple Titleholder Name Owner Phone Number 9/3 _ 3 55-1/y5 <br /> Fee Simple Titleholder Address <br /> � [ �- — <br /> JOB ADDRESS 53 7 5 / / / .2-0 `S� 7a�`� � LOT # <br /> SUBDIVISION N »- PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT Fl SIGN I MOVE I DEMOLIS <br /> INSTALL REPAIR <br /> PROPOSED USE SFR I I COMM n OTHER �1 ii=reaegairian I I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I OTHER I I <br /> DESCRIPTION OF WORK R a./AL T" 6Q-12147419<- 3 rifre smN 6 6e-S <br /> BUILDING SIZE SQ FOOTAGE /SO 0 4 HEIGHT <br /> BUILDING WOO 00 VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING I I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES LINO <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 1 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 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # I <br /> Owit -- / ti'NT <br /> OTHER COMPANY <br /> SIGNATURE 41. A O, Ltd p3-20 -07 REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address I 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 /> 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 />