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813 -780 -0020 — 7- City of Zephyrhills Permit Application ,v Fax- 813 - 780 -0021 <br /> Building Department /06I 3 <br /> Date Re e'tii Phone Contact for Permitting cis 2 . -- ! „:- <br /> ItlitIlltttItI I1.LLY <br /> Owner's Name 1001 ,4e z_ Owner Phone Number o / �r <br /> .? 8 o / 3 <br /> Owner's Address < v 2 - Z29/ / " . A `47 33"w ner Phone Number 7 /'3 5 0 /c 3 r <br /> r <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address � /Q Q <br /> JOB ADDRESS 3 e5" T Ll T / C/\ ,5--c/ LOT # <br /> SUBDIVISION PARCEL ID# 0, 0 76 -, c1 Q - `' / <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ] , NEW CONSTR ADD /ALT n SIGN MOVE n DEMOLISH <br /> Eq ., <br /> -f INSTALL REPAIR <br /> PROPOSED USE I I SFR I 1 COMM n OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 I STEEL n OTHER I I <br /> DESCRIPTION OF WORK _ - 4. of-i /L /� -/e ' -' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ .c1�0 VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENE Y 1 1 , C. <br /> 1 L :- s.' � <br /> PLUMBING $ V. <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ,' <br /> I I GAS I I ROOFING I 1 SPECIALTY 1 1 OTHER J 1( <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES �INO 'a , /t <br /> II <br /> BUILDER ,� / <br /> / <br /> A 1-')--` COMPANY �G 7 vC(ai ,7 <br /> SIGNATURE �L_i1 / ' REGISTERED I Y / N I FEE CURRENT I Y / N I <br /> Address I /' . ,3CP 041 fil/�' � ke7.( 33..E 8" License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # 1 I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # I I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 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 $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 A/C Fences (Plot/Survey/Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />