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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department 680 7/ <br /> Date Received i �� G <br /> I Phone Contact for Permitting 3 Z 7 a 'I - (4 >-3 <br /> Owner's Name M ‘, t -g- A Owner Phone Number 3 6 5 - i g D a <br /> Owner's Address 1 +0? 3 '3` ' S 1 NA bA-i), C , A . Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 7 'I - J , e 4 (6` D . ■khS ) - (//``�� <br /> • LOT # <br /> SUBDIVISION PARCEL ID# O 3 ...(i a1) - o.b t o - -o V30 0 0-- a o o 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN pzzi MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR C COMM I 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION I 1 BLOCK ] ( FRAME I I STEEL / n OTHER I I <br /> DESCRIPTION OF WORK fYloa� a.3 ` Q % °I •t \t. j,n 2A r t S 1,St... ti0 4 - 014.-44.11 66 /OA) • <br /> BUILDING SIZE X6.1 ? c k8 ' SQ FOOTAGE 14q g o. 1 i ' HEIGHT of 5 <br /> I I BUILDING $ 3 000 . VALUATION OF TOTAL CONSTRUCTION <br /> 1 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.0 <br /> I I PLUMBING $ <br /> (9 <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> (r�s <br /> F GAS I 1 ROOFING 1 1 SPECIALTY n OTHER (9 C <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES =NO p � 5, W Qab <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address I ■ License # <br /> ELECTRICIAN /' \ i3 COMPANY Qblovg I OliLS \8 1 f(" <br /> SIGNATURE C \ X Q` REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> v <br /> Address ( 16 / . In d A-3 e \, F L d) , -k . License # - c 'c 'r 1 7 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address <br /> 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE / y REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I �'v I License # <br /> OTHER ` COMPANY J , �,j Q-11) <br /> . <br /> SIGNATURE REGISTERED Y/ FEE CURRENT I Y/ N I <br /> Address ‘76 ei/ 41} 4 <t• 1 4, 4 'C-4 License # I S-Cz <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 />