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20 <br /> 813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Zd <br /> Building Department <br /> Date Received / 2 - � -(g Phone Contact for Permitting <br /> Owner's Name NO A uttratilf,S.I-1L - 646 6,u i Owner Phone Number 0615) Z'I - 544+ <br /> ' <br /> 3641 aPERA Hw.S V,u.AG2 1)ZtvE, 54/ln 400 <br /> Owner's Address N4SHviLr0,1J . 72K Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS U•5. Ht4.Rwp�' 36i „ Zr:.PHYai -tlzt s, FL 33542. '7 5 `7 Q CO 0 1 V LOT lD <br /> SUBDIVISION PARCEL ID# 3 5 :2) - 6 / 3 1) - c<J° ° - 0060 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED F f NEW CONSTR ADD /ALT n SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 1 COMM OTHER I I <br /> TYPE OF CONSTRUCTION I� BLOCK i FRAME STEEL n OTHER 1 <br /> DESCRIPTION OF WORK E - r giDR. gt.o( WALLS Wirt 5to.,16/ F vE , STEEL Raw t)a.14354T55. 6E/b2tN4 coy gLor.K /Ar riSee2 STay . 0 <br /> BUILDING SIZE SQ FOOTAGE 7. 5C. HEIGHT 26 S <br /> BUILDING $ 9 / 93 VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY Q W E C. <br /> I I PLUMBING $ 51 4-e-Pl` "Jt p <br /> / i i — ? j 1 ..0 rj rr4 <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION P � W` S v ,) (i ' Q - (. <br /> Pr 42-V i i � To-a � <br /> I I GAS n ROOFING I I SPECIALTY n OTHER � g i 5\ � '0 p <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA []YES nNO if & 4 � <br /> at <br /> BUILDER c � � wl L _ _ 1 COMPANY I SAC' 74— 6-40evli .itt <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address <br /> License # <br /> ELECTRICIAN ,:, COMPANY Ii -,p r•.JQ7 Cr <br /> SIGNATURE (,.41,� per, � REGISTERED 1 Y! FEE CURRENT I Y / N 1 <br /> , <br /> Address License # ‘ <'s /.?0,,,,157 <br /> PLUMBER . >> e - 1 COMPANY <br /> SIGNATURE �� REGISTERED I Y / N I FEE CURRENT I Y / N 1 <br /> Address License # <br /> MECHANIC Ste LIJi- 1 T COMPANY <br /> SIGNA REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address ( License # yl <br /> OTHER �p� �����C/�s , ,I ra % 1 COMPANY <br /> SIGNATURE CC.,� � -1 .— F Y I ' REGISTERED I Y! N 1 FEE CURRENT I Y! N 1 <br /> Address 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 /> t <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 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />