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1 <br /> 813-780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department (q Z3 <br /> Date Received '1 Phone Contact for Permitting vs , vg -- aaao <br /> Owner's Name SWt nrbie.4L Owner Phone Number &' ""• 7)4 "_ a3P7. <br /> Owner's Address I C#7/9 G4u AtUD• I Owner Phone Number I <br /> Fee Simple Titleholder Namel <br /> Owner Phone Number I <br /> Fee Simple Titleholder Address 1 <br /> JOB ADDRESS 11 &4U 46LVD• ZOyyAN/' LS , 3 '5 9c LOT# I. <br /> SUBDIVISION lzgPo cao i I PARCEL ID # Ia - a2.--a)- (w4, -0'3 - 46/ e <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED i I NEW CONSTR I 1 ADD /ALT SIGN 1 I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR' COMM I I OTHER <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 I STEEL F OTHER I I <br /> DESCRIPTION OF WORK I 7?7U- 4,1 '/eW? /V,4 17 ? 2 S D ELI) &. I <br /> BUILDING SIZE let 7 SQ FOOTAGE I /45 I HEIGHT I Alh"7' I <br /> W BUILDING $ 3 ' 57)D. ob VALUATION OF TOTAL CONSTRUCTION <br /> PROGRES SE <br /> I I ELECTRICAL $ ENERGY 1 1 W.R.E.C. <br /> AMP SERVICE 1 <br /> I I PLUMBING $ <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 1 GAS I I ROOFING I 1 SPECIALTY I1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES II NO <br /> BUILDER / • I S a �) COMPANY AWE �/M) O ��///���� - <br /> SIGNATURE .� � REGISTERED I OP N I FEE CURRENT I Gifu/ N 1 <br /> ,y 33 FL License # C4 /J$ /a7 <br /> Address (f 1 in �'"'�/ 54 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED L Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT I Y/ N I <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N 1 <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 />