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813 - 780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department / ��� <br /> Date Received Phone Contact for Permitting 2/3 7 II( -- S3 1 A <br /> IIIIIlttIIIIIIIIIIII <br /> Owner's Name Qa f Ta/ C4gAikr Owner Phone Number <br /> a- <br /> Owner's Address 6 /2. 4 24 t y 4r . Owner Phone Number <br /> Fee Simple Titleholder Nam el `J Owner Phone Number <br /> Fee Simple Titleholder Address ✓I -/ ,` !. //, �/ (�(� <br /> JOB ADDRESS b ard- jet:e etu /)r. Zert4 �/c.LL� ! r . i'3S�°� LOT # / / <br /> SUBDIVISION Zephyr /`? jfe PARCEL ID# d...4 — 04 — did) ^ d — d WO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED wA NEW CONSTR ADD /ALT 1 I SIGN 1 1 MOVE 1 1 DEMOLISH <br /> r INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 1 COMM 1 I OTHER 1 I <br /> TYPE OF CONSTRUCTION I 1 BLOCK I I FRAME I I STEEL I 1 OTHER I I <br /> DESCRIPTION OF WORK C��r , kr/ 0 0/ 1 c tcu L.� _4(..." <br /> BUILDING SIZE lo. x la / SQ FOOTAGE g 762 HEIGHT <br /> ■ <br /> /Q BUILDING $ , b - A) .°° VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE N PRO ESS ENERGY I 1 W.R.E.C. <br /> I I PLUMBING $ l CO P <br /> I 1 MECHANICAL $ VALUATION OF MEC : NICAL INSTALLATION <br /> C n4 <br /> ' / <br /> / <br /> GAS I ROOFING 1 1 SPECIALTY 1 I OTHER V ito tu <br /> ( FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES 1 INO _ <br /> \ � ` J� COMPANY C► K+ ,- //�/�(�- 7" �� al <br /> SIGNATURE 11-44-Y- REGISTERED [ Y/ N I FEE CURRENT I Y / N I <br /> Address 2'!!3 Ulk, Xi k ! / ' 3 Q License # <br /> ELECTRICIAN d COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <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 /> 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 />