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813 - 780 -0020 City of Zephyrhills Permit Application 3 )01/q1 Fax -813- 780 -0021 <br /> Building Department '•�'I <br /> Date Received <br /> Phone Contact for Permittin: r 990 • / X r, U <br /> Owner's Name ' DIY( t uc f Q, Owner Phone Number 513" 7B/3- <br /> Owner's Address .5151 Sum ,rnc.R I lk 1 t nil_ _ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address , <br /> JOB ADDRESS 1.515 I S►,i rn mi : R 1-6I1 n R . Z -hills FL- 3,5 A I LOT # <br /> SUBDIVISION SU m Ynel2 1"1) I l PARCEL ID# jfa - ` A 1 ''nW'o JonLJ' na,3( <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR _ ADD /ALT 1 1 SIGN [ I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR I COMM I 1 OTHER ( 000/ <br /> TYPE OF CONSTRUCTION f] BLOCK n FRAME 1 1 STEEL I I I <br /> DESCRIPTION OF WORK '(\ f JJ i tiro nd enr - i - J., pool i ya <br /> BUILDING SIZE 1 SQ FOOTAGE HEIGHT <br /> []BUILDING $ Q (do ort VALUATION OF TOTAL CONSTRUCTION <br /> , <br /> 1 'ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY W.R.E.C. <br /> [] PLUMBING $ // <br /> V 0 L <br /> [] MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION k i�11,,,, i- f <br /> []GAS n ROOFING 0 SPECIALTY 1 1 OTHER k/ aLt V <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I YES NO " Su <br /> 11 1111111111111 1 111111 I 111111111111111111111111111111 1 I I11 i ti <br /> &u BUILDER I1 COMPANY ,'M �� <br /> SIGNA REGISTERED Y / N FEE C RRES Y / N <br /> Address PO 1 P I QM t _ . . l LE License # I £ 1k - Q57 / 1 <br /> ELECTRICIAN + = A w n - COMPANY t f` e,'� v l � SIGNATURE , � Ira REGISTERED Y/ N I FEE CURREN I Y/ N I <br /> Address itInh 0 t tc re5 LL Y.e4iJicA. FL? 3.S / License # I ON 4 1 <br /> PLUMBER 1 T 0 0 00MPANY i S,pi ■ P& t <br /> SIGNATURE AL ‘ _ REGISTERED Y / N 1 CURREN 1 Y / <br /> Address Ifc 9jv s 1 wss limp Fc 3 3a 7 d- License # 0 ,P( )113- - <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <br /> Address I License # 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # I <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 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 />