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813-780-0020 KI5fic City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin • -- <br /> Ownees Name 2a g 3---cose/7 Owner Phone Number <br /> Owners Address I gke4 4240 ST Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS geW - )t 11 ,Sr Ze,lreAl Fe 3. f‘ gat LOT a <br /> SUBDIVISION 1 6S4 Ate'S I PARCEL ID# I 13-26 -21- Oi?e- 000aa -04/0 I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED 1 1 NEW CONSTR <br /> INSTALL ADD/ALT fl] SIGN 1:=1 MOVE ri DEMOLISH <br /> REPAIR <br /> PROPOSED USE r SFR FT COMM fl] OTHER <br /> TYPE OF CONSTRUCTION f BLOCK E FRAME n7 STEEL n OTHER <br /> DESCRIPTION OF WORK I 2 hi 1 eetv ( cifa4ge oz.4 aft, ha,a(0- tu,f) ceiviertsci- <br /> BUILDING SIZE I I SQ FOOTAGE HEIGHT 1 <br /> 1 <br /> n BUILDING 1$ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> r ELECTRICAL 1$ 1 AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.0 <br /> 1-1 PLUMBING 1$ <br /> 1 <br /> Fe MECHANICAL 1$ 7 767/ 1 VALUATION OF MECHANICAL INSTALLATION <br /> n GAS r ROOFING 1 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS 1 I FLOOD ZONE AREA []YES FIN() <br /> .4111=1111 <br /> BUILDER I <br /> 1 COMPANY I <br /> SIGNATURE <br /> REGISTERED I Y/ N I FEE CURRENT I Y/N <br /> Address <br /> 1 License # <br /> ELECTRICIAN <br /> I COMPANY I <br /> I <br /> SIGNATURE <br /> REGISTERED 1 Y / N I FEE CURRENT 1 y / N 1 <br /> Address <br /> 1 License # <br /> PLUMBER <br /> I COMPANY 1 <br /> SIGNATURE <br /> REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/N I <br /> Address <br /> 1 License # 1 1 <br /> MECHANICAL <br /> COMPANY I 'Y ,42'Q, <br /> rr e.--4,52,„ 7 „.„/ - <br /> SIGNATURE ...sin Arjedir,„, ,,,..„,60/ REGISTERED Y/ N FEE cuRRENT I Y / N <br /> Ai. <br /> Address Wei k) gpsc4 g ivel fp ,G ..T.sliv'Z License # 1 <br /> 1 <br /> OTHER <br /> COMPANY <br /> SIGNATURE I <br /> SIGNATURE <br /> REGISTERED 1 Y/ N I FEE CURRENT 1 Y/N 1 <br /> Address <br /> 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 /> • • •• ,--- -,•-•,• ::•-• ,:- <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 he 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 CoLnter if on public roadways. needs ROW <br />