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813- 780-0020 City of Zephyrhills Permit Application Fax -813 - 780 -0021 <br /> Building Department <br /> D a t e Received I Phone Corrtact f o r Permittln g._JK 1 1694 - I - 7 �v 31.... <br /> ........... <br /> Owner's Name' Wth ren R. 1-1111-4-e I Owner Phone Number 17 1 3-1 g5- 34 I/ <br /> Owner's Address 311 , Fakrf tiA pt. r p4 j i � IS <br /> Us Phone Number 1 <br /> Fee Simple Titleholder Name' Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 31i2.1.0 Ft)x run place. mph rhi )1s, -F1, 3394 a 1 LOT # 139 <br /> SUBDIVISION ISA Iver O &K6 I PARCEL ID#J 03 01Qo -b0000 -0390 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED C NEW CONSTR if ADD /ALT n SIGN n MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR F COMM n OTHER I <br /> TYPE OF CONSTRUCTION n BLOCK I FRAME [--1 STEEL n OTHER I I <br /> DESCRIPTONOFWORK ��.CA -.1 t (' js \S R i , L �- t IA k ( L-� - „ . Cu-ti .a o:, S V l_ - <br /> BUILDING SIZE 1 SO FOOTAGE 3 0 HEIGHT 1 ` )� <br /> BUILDING $ (.l m I c, <br /> t of VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL 1$ I AMP SERVICE (—I PROGRESS ENERGY W.R.E.C. <br /> = PLUMBING 1 1 <br /> I MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> 41 `1 <br /> Q GAS ROOFING I SPECIALTY = OTHER ___ _ _ _ • <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYESNO <br /> BUILDER COMPANY 1 <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y 1 N <br /> Address 1 I License # ( <br /> ELECTRICIAN COMPANY 1 <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT 1 Y 1 N I <br /> Address 1 <br /> 1 License # <br /> PLUMBER COMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y 1 N I <br /> Address 1 <br /> 1 License # I <br /> MECHANICAL COMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/N 1 <br /> Address I I License # I <br /> 4 , <br /> OTHER COMPANY 1 A dinalrt'eclinolo9je <br /> SIGNATURE - S , • REGISTERED Q N FEE CURRENT I Y / IT I <br /> Address 31o; •11 , • k " 1..1 ^ � ,. ... . 1 3559 License# Zee 13a.599 <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 /> i <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign bads 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 W on public roadways..needs ROW <br />