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813- 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780- 0021 f�y6,� / <br /> /� Building Department �[ ( rJ <br /> Date Received 4 _ 2 'w Phone Contact for Permitting 621 -5 3 __ o' d6' <br /> Owner's Name 4 t(I "., 6.►S + LL - C Owner Phone Number <br /> Owner's Address 13 6.29 .. a GYI c. ...41,00...F/:3 WY Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ?9 ge l ggiV0i. -* /7� <br /> r� ,8 <br /> LOT # <br /> SUBDIVISION PARCEL ID# 35 A 2S' -- - _ oae„)– p( r] fib -- ( )`4I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ® ADD /ALT 1 1 SIGN I 1 MOVE 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR I I COMM ,It OTHER I <br /> TYPE OF CONSTRUCTION 1 I BLOCK 1 .1 FRAME ] STEEL n OTHER I I <br /> 3 <br /> DESCRIPTION OF WORK 41'46 ,c...e.) yyt/V7 p( — C • /C / /� /C,I 4Y1 ( `y, - I t (e)c)C <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 1 ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY n W.R E.0 <br /> 1 PLUMBING $ 1 / <br /> I I MECHANICAL $ S l0 VALUATION OF MECHANICAL INSTALLATION i / 1,0/ L 04. <br /> 1 I GAS n 1� <br /> ROOFING 1 I SPECIALTY n OTHER /v ( l 389 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address <br /> License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address <br /> License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address <br /> License # <br /> MECHANICAL � /.-A // COMPANY �...ac it <br /> SIGNATURE Ad22 ./0/,/ Ye/ REGISTERED I Y / N 1 FEE OURREN ' Y / N 1 <br /> Address <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y / N 1 <br /> Address <br /> License # <br /> ............................ ....... ..... ........... ... ..: .:: .................. ,..... ... .... .,vi. urk'iir . "!!: �! "ii:..,:.r...:r::...ii ^!i^. F:i......, .......... ..... i'li:i' i =Si� !ei!!E. '.i !!ai;:;:::;:� u <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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />