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, 813- 780 -p020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name M4 // f , 6A re/ Fi <br /> 1' /M/1E7 Owner Phone Number Fe • 9 / / , rJ [ 0... <br /> Owners Address 1 &o3 fleadna )oCQ a )/- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3791.3 J1 Q0cvooa r✓& P LOT# 0 1 /5I) <br /> SUBDIVISION Ileadouzz6 EST PARCELID# /3-.269., • 19/' /D • ate' egs0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I I NEW CONSTR ADD /ALT Q SIGN I� MOVE n DEMOLISH <br /> u INSTALL REPAIR <br /> PROPOSED USE Ii SFR I COMM Ii OTHER I I <br /> TYPE OF CONSTRUCTION n r q mu BLOCK I I FRAME n � STEEL <br /> [ – Q OTHER I I <br /> E/e DESCRIPTION OF WORK /0 0 7•5 /�S SCe / / TE V rC I (�) <br /> BUILDING SIZE SQ FOOTAGE I HEIGHT <br /> n BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> n ELECTRICAL $ AMP SERVICE I PROGRESS ENERGY I W. R.E.C. <br /> I PLUMBING $ <br /> 1 MECHANICAL $ 741/60 (`Q VALUATION OF MECHANICAL INSTALLATION <br /> I GAS Q ROOFING I SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I fN0 <br /> �/ �/J ......., .:.:..:•t: �;::. <::� sst; .:;::::::; �L�� is: s. .. >s;:::ii:ii;::i......._:i:::• is::;::: -:� ::::� ::is� si::sasr �;::_:s:: �::::::: �t:::::� s:s: �:: �;:: <br /> BUILDER .l'1 /'T COMPANY ii R s C <br /> SIGNATURE � REGISTERED I Y / N I FEE CURRENT � I Y / N 1 <br /> Address I Je(dc? /lasso-re, //Y/1. 1 License # I CMvW ! crop <br /> ELECTRICIAN COMPANY I I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I I License # <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address I License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # I <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I 'ON I <br /> Address <br /> 1 License # I <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of <br /> O O 9 O 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 /> ...,. •,:::::::z:e c :::u :::::::::.:::::::r..::::::: n:::::;::::::::: r.TiS ?iii::: �::::: <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 Attomey (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 />