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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> T Building Department <br /> Date Received (.`- C v Phone Contact for Permitting -- <br /> Owner's Name —7/c * >7� <br /> J i / r /I � i. Owner Phone Num 9/ / � j // <br /> Owner's Address 1jjv � �0 � , 4 - Owner Phone Number 3/3 °�!(I " / 1�' 5/1( <br /> Fee Simple Titleholder Name � Owwner <br /> /� Number / V' <br /> 'x.7 <br /> Fee Simple Titleholder Address , 'J / G/W 444 C y ,fr% e l 61 3 3, <br /> JOB ADDRESS 8552 P i �, y r ' _ �� � 33 0 LOT # vC.,> <br /> SUBDIVISION / 4 G- L4j,-JG PARCEL ID# 3Z� Z 6050 axvo '3 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED STR ADD /ALT 1 1 SIGN I I 1 I DEMOLISH <br /> IRIS / REPAIR <br /> PROPOSED USE i\ S n COMM 1 1 OTHER <br /> TYPE OF CONSTRUCTION BLOCK n FRAME 1 1 STEEL I 1 1 <br /> DESCRIPTION OF WORK /dd''��66/4/6P 444/ Liee <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> (BUILDING $ /^— Ov VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> PLUMBING $ <br /> 1MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS 1 1 ROOFING n SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> 1111111111111111111111 111111111111111111 11111 11111111111111111111111111111111111111 II11111111111111111111111111111111111111111111111111 <br /> BUILDER COMPANY <br /> SIGNATURE /' , L REGISTERED 1 Y / N . 1 FEE CURREN 1 Y / N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address 1 License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N i <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-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-0-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 />