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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> • d-12_4-- ... <br /> Date Received �� // <br /> .. _a/ � 2 P hone Contact for Permitting g23 -- Q $ cU�i <br /> Itiillllttttlll <br /> Owner's Name Crry U r ���.4fpr /,(f 0 _ lo� i 'tei" <br /> Owner's Address s3 GP.t-Z j .7',2r✓t-- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address + <br /> JOB ADDRESS .. 2 5 /4//4l /3 LOT # <br /> SUBDIVISION PARCEL ID# 4 . 2 ,• 2 /' QD 50 - ODODd ' CO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN I 1 MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR I I COMM I I OTHER I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME I I STEEL I 1 OTHER I I <br /> DESCRIPTION OF WORK eioAZ - <br /> 1 P' S14 o /7,4 Al 6-4 ✓L \ <br /> r <br /> / <br /> BUILDING SIZE SQ FOOTAGE HEIGHT '� /t 9 <br /> Pill BUILDING $5 ff5:GV VALUATION OF TOTAL CONSTRUC ON ' it <br /> I I ELECTRICAL $ AMP SERV MI - - :: - ERGY I 1 W.R.E.C. <br /> I 1 PLUMBING $ <br /> 1 1 MECHANICAL $ , :LUATIO • • _ • • - INSTALLATION 4 ( , id P • <br /> C- I I GAS 1 I ROOFING SPECIALTY OTHER " W ? • <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES 1 INO , �Qf�' 69 ' <br /> Ain P f )/' <br /> 1 r.r / <br /> BUILDER T � : COMPANY (/ 1-e-- S AZT VAGi <br /> SIGNATURE _ !/ � �� . REGISTERED ( Y / N I FEE CURRENT 1 Y / N I <br /> Address License # <br /> ELECTRICIAN / / 1 / COMPANY 1—)44t'0 1 a-L CT'1 C Co, .gyvC, <br /> SIGNATURE -,41 ,41 _`d REGISTERED I Y / N _I FEE CURRENT I Y 1 N 1 <br /> 4N <br /> Address I CO 1S l D f"c-6tAi FL, 3S 57.5 <br /> / -7 •5 License # I pa i3©01 so <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 1 <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N j 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 />