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JUL /,5 /2009 /WED 01:56 PM ZEPHYRHILLS BUILDING FAX No, 813 - 780 - 0021 P. 001 <br /> 813 -780 -0020 , City of Zephyrhills Permit Application . .0 Fax- 813 - 780 -0021 <br /> Building Department <br /> Date Received ,a y ♦ � ��� <br /> Phone Contact for Permittin, WV <br /> Owner's Name ] ✓� � i 01 <br /> L - .� � <br /> Owner Phone Number <br /> /", <br /> Owner's Address 1 439 5 , C� i t B Via, 1 I <br /> Owner Phone Number <br /> Fee Simple Titleholder Name I 1 Owner Phone Number 1 <br /> Fee Simple Titleholder Address I <br /> Joe ADDRESS (9 4 G ti. BILi 8- t 7. 1 c-Ii t l is .33542-1 LOT # I <br /> SUBDIVISION I PARCEL ID #' 0 3 2- ' -24 — 0010 — DO l DC3 —00 i I • <br /> (OBTAINED PROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEW CONSTR � l ADD /ALT ( DEMOLISH <br /> INSTALL n REPAIR <br /> P <br /> • <br /> ROPOSED USE 1 1 SFR 1 1 COMM J OTHER I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK Q FRAME 1 1 STEEL I 1 1 I <br /> DESCRIPTION OF WORK T <br /> �+7 I t_ 11 (.) i!'i \. n 4 '' .- ��' c�. L� I.� �.�' ii-..-, it., S'� I t �'� I <br /> UUILDING SIZE 1 2 013 it t + )( 06 (VI SQ FOOTAGE' 17•11A I HEIGHT 1 (3 ! I <br /> • <br /> 1-1BU1LDING I$ <br /> W r " I VALUATION OF TOTAL CONSTRUCTION <br /> • <br /> 1- 1ELECTRICAL IS ` I AMP SERVICE 1 1 PROGRESS ENE '�"�,i1d W.R.E.C. <br /> E— IPLUMBINO IS I a) . t c--- <br /> 1 (MECHANICAL I$ I VALUATION OF MECHANICAL INSTALLATIO N N , r <br /> I Q ROOFING I-1 (3 <br /> 1 SPECIALTY 1 1 OTHER 'V p ' �fI/ /' <br /> FINISHED FLOOR ELEVATIONS ( I FLOOD ZONE AREA 1 YES NO <br /> 11 l <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address # I License # I I <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1' <br /> Address I <br /> 1 License # I ( <br /> PLUMBER COMPANY 1 I <br /> SIGNATURE REGISTERED 1 Y/ N 1 PEE CURREf 1 Y / N 1 <br /> Address I . I License # I I <br /> MECHANICAL COMPANY I I <br /> SIGNATURE 1 REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address _ "i <br /> �� License I <br /> _ <br /> OTHER t • L <br /> SIGNATURE I ti as. i COMP �1 i � ' � t - . -T 7 � . � � � St K REGISTERED " � - CURREN r A� <br /> Address <br /> License # lag 1 2.1)005 6 d3 <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 onslte, Construction Plans, Stormwater Plans w/ Slit Fence Installed, <br /> Sanitary Facilities 8 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 /> Drlvewaya - Not over Counter if on public roadways - .needs ROW ' <br /> • <br />