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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 <br /> Building Department <br /> Date Received - 9 -- ! J <br /> Phone Contact for Permitting <br /> - / _ - Ta <br /> Owner's Name r i ) L A ') P l t !\J V Owner Phone Number 13 H 2 C) / <br /> Owner's Address 52-1 5 / 1Q Sri E-e/Plgi4-11 .S Owner Phone Number 1/3241424/ G23 <br /> Fee Simple Titleholder Name S r : Y u 7 2 0 S 7 ! € i (& {JJ - Owner Phone Number <br /> Fee Simple Titleholder Address J te'01)‹. 2i/4 0-e_-44 1(_f7 f)Jc .J1, fA 23Z1a o - /4 9 <br /> JOB ADDRESS 52 /5" / (P ► 57 ! R- LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEW CONSTR u ADD /ALT I 1 SIGN Q n DEMOLISH <br /> INSTALL n REPAIR <br /> PROPOSED USE I SFR I COMM ® OTHER QS I se A mm� c� <br /> TYPE OF CONSTRUCTION F BLOCK q n FRAME / I 1 STEEL 1 I I <br /> DESCRIPTION OF WORK 10 SSAl.L. 1 O LF- of u1/43600 F-6 N&)- <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> BUILDING $ a' VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ AMP SERVICE <br /> AS /NERGY I W.R.E.C. <br /> (PLUMBING <br /> 1 $ VALUATION STALLATION <br /> [1GAS I ROOFING IT SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I NO <br /> BUILDER - COMPANY QAdit-e- <br /> SIGNATURE _ REGISTERED 1 Y/ N FEE CURREN l Y/ N 1 <br /> Address <br /> License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Address <br /> License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N I <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N 1 <br /> Address <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N 1 <br /> Address <br /> License # <br /> 1III11I11IIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111 <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 <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 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 if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />