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813 -780 -0020 City of Zephyrhills Permit Application Fax 813- 780 -0021 <br /> Building Department ' q Application , <br /> Date Received A 113 <br /> d . c200 Phone Contact for Permitting 7027 0. A -- 0033 041 /04 <br /> Owner's Name &Amer, LI 9 Owner Phone Number 813-3435-S035 <br /> Owner's Address 1Wci 4I)0 + Zephyr/05 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ` '.On <br /> JOB ADDRESS 7 V u �() { • LOT # <br /> SUBDIVISION (xef:II/tat) Hi 1)s PARCELID# 35 ~ a5 - 1- op O- cOWo -looO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I ADD /ALT I I SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I COMM 1 I OTHER <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL . I 1 OTHER I <br /> DESCRIPTION OF WORK t(, W ?rinds ux-+ er I'1 e-'�`�' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ 7 1997. C) VALUATION OF TOTAL CONSTRUCTION <br /> 11 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> I I PLUMBING $ /f <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION kid l:/ , <br /> ok v 44/ <br /> I 1 GAS 1 1 ROOFING I SPECIALTY I I OTHER V�0 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I INO } <br /> BUILDER � y COMPANY AP: l� CU / N SIGNATURE �i � � REGIST � ( {� / FEE CURRENT Y I <br /> Address 5733 L i ' C • 1.1 W - L 3i7(o0 1 License # INC 5is7 &D <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N ] FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1 License # F <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 />