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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department . <br /> Date Received . — k 11111. Phone Contact for Permitting g(3 / -- c. (e3 <br /> Owner's Name R0 tit b ril► c r Ill Aho -U r\ v l I Owner Phone Number '7 <br /> 31b - S •'4803 <br /> _ <br /> Owner's Address 57:6(0 18 `L. S4 Z - E P h (V Y1 0 1 6 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5213 to \ B W S f LOT # <br /> SUBDIVISION PARCEL ID# l I ZIp - Z I • 001.0 ' criOp - o l Z t] <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I r.--I _ SFR 1 I COMM I I OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK <br /> "" -- I I FRAME I I STEEL I OTHER I I <br /> DESCRIPTION OF WORK s A ��',x V kL1 - y 24 <br /> BUILDING SIZE t+ 4 ka, SQ FOOTAGE HEIGHT t l r <br /> BUILDING $ a 4 98 ,y S' VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 12R1 PROGRESS ENERGY I 1 W.R.E.0 <br /> I I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING I 1 SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS ■ Fp21 ZONE AREA 1 IYES 1 INO <br /> \ ■11 ■ !1114 , <br /> BUILDER si � 's / / i / /COMPANY ‘3 ©f'f✓G2/ < 1 <br /> SIGNATURE CJ' A : REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y/ N I <br /> Address License # 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 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 />