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813 -780 -0020 City of Zephyrhills Permit Application 1 Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received 1 ( A ®2 20/ 0 .. _ Phone Contact for Permitting & 3 2 O __ �g 2- 1 <br /> Owner's Name _ 9, t 0 7Ink ( l,, Owner Phone Number " G AO ' " z <br /> 3 g -ZZ C_ S / 1 r <br /> Owner's Ad ess <br /> �. ���t , L Owner Phone Number <br /> • <br /> Fee Simpl Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Cp. 3 --f- r-- —r-- -- 365z2- C, S VC LOT # <br /> SUBDIVISION PARCEL ID# O Z ^ ZG * 2 ( •i o o G O -00c00 - o 0 1 0 o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT f SIGN 1 I 1 MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR 1 1 COMM OTHER I I I <br /> TYPE OF CONSTRUCTION I 1 BLOCK 1 I FRAME I I STEEL n OTHER I <br /> DESCRIPTION OF WORK Add 1 i 6 t (r � � Qu '-i e i A j 4�� -I <br /> I <br /> BUILDING SIZE SQ FOOTAGE HEIGHT _ (/ <br /> I I BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> k0 <br /> ELECTRICAL <br /> ( I PRO <br /> GRESS ENERGY Li iN.R.E.0 <br /> ) <br /> $ <br /> / � AMP SERVICE J s <br /> PLUMBING $ h * , '' 4 a 5 <br /> I I MECHANICAL $ VALUATION 0 ECHANICAL TION <br /> I 1 GAS 1 1 ROOFING I 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES 1 INO <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I' FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN ) COMPANY COMPANY 0n ' -( " t�7ec ? / f� <br /> SIGNATURE REGISTERED I Y/ N I I FEE CURRENT I Y 1 N I <br /> Address ( 71! 4 (f l eu l s7 / j v / r CO Fc j7 1.9 License # It`- C (3d O / ? <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N L 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 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address License # l <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 Plars, 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 />