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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department // Of 1 <br /> Date Received / 0 - -, .- Phone Contact for Permittin• / 1 J `1 -- 0 ?) I �1 <br /> Owner's Name V140 rA o I A N 'toA i o Owner Phone Number <br /> Owner's Address 3 7 3.25' / f et, k. wt Ave Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 371,25 r 1 y� <br /> e , o w, Ave LOT # .2 y4. <br /> SUBDIVISION SJ 4.01 N o r d otJJ , PARCEL ID# 3` "a7 "? � - 0170 - 000 0 0 - ,?y` 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 I SIGN n 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR ri COMM 1 1 OTHER 1 <br /> TYPE OF CONSTRUCTION I 1 BLOCK n LL FRAME 1 1 STEEL I I 1 <br /> DESCRIPTION OF WORK d.J ∎ �d 1.) rep >'„ rPw." 4 Ii fi 1 { - <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> nBUILDING $ 3l7)' VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> 1 (PLUMBING $ r <br /> I (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Q `� <br /> 1 (GAS ( I ROOFING I1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 'YES NO <br /> ?sr <br /> BUILDER Q 1r= COMPANY +w�i✓ l <br /> ��( �i' /h) , _am <br /> � <br /> SIGNATURE REGISTERED l✓�r � <br /> r� FEE CURRCURREN o <br /> Address ff(• rficki. ( c/ )e _ i.) License# I �C j /1106 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREI I Y/ N <br /> Address License # 1 <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI' I Y/ N I <br /> Address 1 License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURREN I Y/ N I <br /> Address 1 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 $7500) <br /> ** Agent (for the contractor) or Power of Attomey (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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />