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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department # /0 ; <br /> Date Received s ( 0 Phone Contact for Permitting a- ael - 003 tt ► s <br /> Owner's Name AN Q €D MASH Owner Phone Number <br /> Owner's Address q l 5 a ✓` A �sk-Rl.),z. Oa_ Owner Phone Number <br /> Fee Simple Titleholder Name . I P Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS q 15 a PSt LA- JD ID 2 LOT # 34 <br /> SUBDIVISION RL'I4A V i LLA kE PARCEL ID# S C9`5 a 1 o SO (boo ® 3f <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I ' I SIGN I I 1 I DEMOLISH <br /> 74 INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR n COMM 1 1 OTHER 1 <br /> TYPE OF CONSTRUCTION IN I BLOCK n FRAME I 1 STEEL n <br /> DESCRIPTION OF WORK SOON 2 1..1ATC W EA 1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 (BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I (ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY n W.R.E.C. <br /> IV (PLUMBING $ Li � bJ r cot-fiver A l P <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 0 <br /> 1 (GAS I I ROOFING n SPECIALTY I I OTHER 0 /U° C <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I (YES NO �/� 4v Pk"' <br /> 11111111111111111H1H1 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURREN I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURREN I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Ai <br /> Address Lice - - # <br /> OTHER ■ /1 (�', i� r Q COMPA N Y <br /> SIGNATURE t��' (� �,, REGISTERED FEE CURREN J I Y / /—N7 I ,� <br /> Address 5933 fr D - Z. oLe. C12 License # � o -1 <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 $7500) <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 if shingles Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />