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' 813- 780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department �f "j /- <br /> Date Received Phone Contact for Permitting ` - -- l ��v <br /> - I II - it — i II - 1 1 1 1 1 G x�/ <br /> Owner's Name ire A Ck ' / V 5 Owner Phone Number O l 3- (Q t'J e/ I' <br /> Owner's Address A LI D3 lab -Iia Cr. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / ; ^ ^ .7 � �� ; y Dr ( � <br /> JOB ADDRESS 3 1 LI /(� d ! Qt• � � f yr1411/ 7 f a-. LOT # • <br /> SUBDIVISION / /(� %AONIC ARCEL ID# 1-3.- 26, a�3 <br /> - a 1 - oo- o`/��� � / /�,,� , -O , <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F1,,.0" <br /> Y l ADD /ALT I SIGN I 1 1 DEMOLISH <br /> PROPOSED USE 1 INSTALL REPAIR <br /> SFR 1 1 COMM 1 OTHER I 1 <br /> TYPE OF CONSTRUCTION I I BLOCK I t FRAME 1 I STEEL I 1 I I <br /> DESCRIPTION OF WORK RePiaLe t Cj <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1/BUILDING $ �rj� CO VALUATION OF TOTAL CONSTRUCTION <br /> (ELECTRICAL $ •TJ( AMP SERVICE I I PROGRESS ENERGY W.R.EZ " --, ,, <br /> (PLUMBING $ . �// �o[ � ) <br /> (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / <br /> (GAS I I ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I (YES NO ' -- <br /> - 111111111111111111111111, 11 1 IV IIIIII11111111111111111111111 1- <br /> ® 3, r �IGFi �t�enJC�/A Co <br /> BUILDER C OMPANY <br /> SIGNATURE "I, / REGISTERED I Y/ N I FEE cuRREn I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURREN I Y / N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURREN I Y / N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 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 -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 />