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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department .1)5 7 /> ? <br /> Date Received - -( 5 78a-- - /DL r <br /> 1 Phone Contact for Permittin. <br /> A <br /> Owner's Name J tell, r a i6 O/•7 Owner Phone Number <br /> Owner's Address 3735a 1`1c4 tarn Art. e-ce/r IIiS 1 Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I3735a No444<OnI Ayr., LOT # 1 '1/ <br /> SUBDIVISION GaAN N0a4 z4,44 PARCEL ID #I S a /- t 00000 . 0 Clip <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED (� NEW CONSTR C ADD /ALT SIGN Q n DEMOLISH <br /> H INSTALL C REPAIR <br /> PROPOSED USE O SFR Q COMM I 1 OTHER I I <br /> TYPE OF CONSTRUCTION n BLOCK Q FRAME r1 STEEL n I <br /> DESCRIPTION OF WORK 15661 , etf415(On I /NBA Wej I pone l d c_ <br /> BUILDING SIZE /4 ) SG FOOTAGE I ! (,P HEIGHT I <br /> UILDING ( $ L / 7 va . VALUATION OF TOTAL CONSTRUCTION <br /> 7 ( <br /> nELECTRICAL I$ AMP SERVICE In PROGRESS ENERGY Q W.R. E.C. <br /> nPLUMBING I$ <br /> F MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION <br /> nGAS n ROOFING O SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA nYES NO <br /> 3 <br /> BUILDER Q � COMPANY I � f * 6 , M57i2u.en O� <br /> SIGNATURE 0 REGISTERED I Y/ N I FEE CURREn I Y/ N <br /> Address 1 /2�P? /t.Gt RgApf J2i5 • 71416 1 License # I D$7 78'a- <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREn I Y/ N I <br /> Address <br /> 1 License # I <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y / N I FEE CURREt I Y / N I <br /> Address I <br /> 1 License # I <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREn I Y/ N I <br /> Address I License # <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREn I Y / N I <br /> Address License # I <br /> III1IIIIIIIIIIIIIIIIIIIIIIII IIIIIII 1 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <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: 1..r 1 <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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />