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813-780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department J. Ci( 1 ( f5 <br /> 4- 2 6 -01 Phone Contact c XE y 5/ (0 / fl7 8 <br /> Date Received `f Phone Contact for Permitting - <br /> Owner's Name f1- oe%Dr•1 1-)osp %-l-AL. - -zepRtif214 1 Owner Phone Number P/3- 7 n . (.1 o � �q <br /> Owner's Address - 7C ) SO &qv t- BLVD. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 6o7'18 GL" 13L-VD <br /> JOB ADDRESS LOT # <br /> SUBDIVISION PARCEL ID# 0 2. 2-f0 . 2 N • C) 01 U • 02_50 • 002,0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED l 1 NEW CONSTR �� ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL 111.11 REPAIR <br /> PROPOSED USE I I SFR COMM 1 1 OTHER I MED biCIE. I <br /> TYPE OF CONSTRUCTION I I BLOCK 1 I FRAME STEEL n OTHER 1 I <br /> DESCRIPTION OF WORK 1NtER1OV.- UOUA-1-4o• c(jQ %Me MEDI CM /EXAK+ C % .S LE. <br /> BUILDING SIZE X\ C)CJc 5e /1344>' SQ FOOTAGE SV VC) HEIGHT <br /> 1 ,4 BUILDING $ Z561) / _ I , D° VALUATION OF TOTAL CONSTRUCTION <br /> I v ELECTRICAL $ (_l lD AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.0 . Cc 000 . -- co , <br /> vi PLUMBING $ 9st a /� a ( • <br /> V M J <br /> 1 ,�I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 3o .3' <br /> I I GAS 1 1 ROOFING 1 I SPECIALTY n OTHER S I1' e <br /> FINISHED FLOOR ELEVATIONS e,4154 t .Q FLOOD ZONE AREA 1 'YES 1 ■ -� ,}D �S , ,, l <br /> BUILDER I '' ' COMPANY STeU e N.S C Otv $4S`uC_ +(G J <br /> SIGNATURE 1 � ` &______ REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address 6 . IWht3 ke7 C clit Fr Myers 339 19 License # UDC- 6 5 - 7 / (ei3 <br /> O <br /> ELECTRICIAN d� n (' -� COMPANY <br /> SIGNATURE t REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address J 1 License # <br /> SLUMBER n t[ ,� ���, f „ ^� 21?/C7 t COMPANY <br /> SIGNATURE �J- t 0` lA ! REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address n %." License # n <br /> 44 " <br /> MECHANICAL �Q� *� COMPANY <br /> SIGNATURE X-� REGISTERED I Y/ N I FEE CURRENT I Y / N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N 1 <br /> Address 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 />