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813- 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 <br /> Building Department � , �.iJ <br /> v( <br /> Date Received /0 — `— 0 Phone Contact for Permitting e # ' <br /> g - hh � <br /> Owner's Name [ � �,(� � t Owner Phone Number $13 $'! T /. a <br /> MO Owner's Address 5 3 Z.Epttt?Zl -fit t.�.s , ��., Owne h Number gl3 ! / I f a 9 Q . <br /> Fee Simple Titleholder Name b. ifto Owner Phone Number <br /> Fee Simple Titleholder Address N /* <br /> JOB ADDRESS J T 7 3 11. t ZS & US rL 3 3 Sy 2-- LOT # V 7 <br /> SUBDIVISION PARCEL ID# 11 ac.Ai cot i2.400 on 4'o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED >1 NEW CONSTR ADD /ALT 1 1 SIGN r MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 SFR I I COMM 1 1 OTHER I I <br /> TYPE OF CONSTRUCTION I BLOCK 1 1 FRAME I 1 STEEL I 1 OTHER 1 I <br /> DESCRIPTION OF WORK J/ aoxaa t COwst.RETl auxic 667- qu�-sfl GAr2AGE <br /> BUILDING SIZE � V SP' er SQ FOOTAGE 4II 0 F HEIGHT la y 1" <br /> I I BUILDING $ /7 j VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I I W.R.E.C. <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATI • OF MECHANICAL INSTALLATION <br /> I I GAS I ROOFIN e I I SP' CIALTY I I OTHER <br /> FINISHED FLOOR ELEV' IONS I FLOOD ZONE AREA 1 IVES nNO <br /> r� ^�1 <br /> BUILDER COMPANY An/16c° BticC, G <br /> as t "J <br /> SIGNATURE /'� REGISTERED I Y/ N I FEE CURRENT I Y! N <br /> Address ' 3tr M1+ HOLLOW eum We3itasy ASt-, License# t..131.123 ol5/ a_ <br /> ELECTRICIAN Al i fl_ COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> PLUMBER P ,/ / q... COMPANY <br /> SIGNATURE 1 REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # <br /> MECHANICAL tti bi— COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER ` ` /A COMPANY <br /> SIGNATURE / " ' `1' REGISTERED I Y / N I FEE CURRENT I Y / N I <br /> Address License # I <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 $5000) <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 , Sewers '' „ 'Service Upgrades NC Fences (Plot/Survey /Footage) <br /> "!CC :'k ; ',., i <br /> ' Driv IA,uays over Celt roadways.. needs ROW <br /> A' _ <br />