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813- 780 -0020 1/ 54% ( City of Zephyrhills Permit Application Fax - 813 - 780 -0021 <br /> Building Department <br /> Date Received I 1. I l I S _ ( 93-SL I <br /> Phone Contact for Permitting <br /> Owner's Name - 1/101n‘e..S g . kJ r'Sh Owner Phone Number g! - 3 SS - 1-0) 4 <br /> Owner's Address 1 39 a H(:, pC i 5 S Ave.. Owner Phone Number I 9 3 1 - a a 4- - ,/ 64. <br /> Fee Simple Titleholder Name' Owner Phone Number I <br /> Fee Simple Titleholder Address I ,( <br /> JOB ADDRESS 1 3 s I )'1 L 14 to. 1 � \ \S f }ve, . I LOT # <br /> SUBDIVISION 1 PARCEL ID# I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Fr NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [ SFR E COMM n OTHER <br /> TYPE OF CONSTRUCTION O BLOCK E FRAME n STEEL / n OTHER <br /> DESCRIPTION OF WORK 1 RC� Lc t /'s ZL -Fd r .5 i 4 e 51. J ; . 61( (g5jC <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> n BUILDING VALUATION OF TOTAL CONSTRUCTION $ - 000. Gv <br /> n ELECTRICAL $ AMP SERVICE r PROGRESS ENERGY ED W.R.E.C <br /> n PLUMBING $ <br /> n MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION +V <br /> I C <br /> n GAS n ROOFING n SPECIALTY 11 OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA EYES NO <br /> 1,111WIWAIIIIIII <br /> BUILDER . ,' `' COMPANY >r0.(.S csws.c. <br /> SIGNATURE - l/ REGISTERED ream FEE CURRENT `C. <br /> Address I 1 License # 1 C G G b ) S 3 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1 I License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N I <br /> Address I I License # I <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 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 />