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813 -780 -0020 City of Zephyrhills Permit Application Fax 813-780 -0021 <br /> Building Department 4t' 0 V 1 <br /> Date Received — 37 ._ 0 Phone Contact for Permitting -- <br /> IIIIIIIlililtllLLLL1' Q <br /> Owner's Name ...J Of/AI / xiN/�/L Y" Owner Phone Number g,3 ".�� ` .177 <br /> d 23 fibnALAV(z #4,�� j 2 7 2 <br /> Owner's Address .S'��"� Own Phon Number �3 � 3 Qar[J 9 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> LOT # ,� <br /> JOB ADDRESS ..�.�I/4!'7e <br /> SUBDIVISION 64% r Ao,1E� PARCEL ID# /-3:26,—;14i— GIOC r.0 —. e/20 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I MOVE I I DEMOLISH <br /> INSTALL I REPAIR <br /> PROPOSED USE 11 SFR I I COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I 1 BLOCK I I FRAME I I STEEL I I OTHER I I <br /> DESCRIPTION OF WORK S J-, / / Lf_' &- RoO <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ 3 � 7so. (2F, V VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I 1 W.R.E.C. <br /> PLUMBING $ w E ' Di ) - 6 - ( - e _ _ , <br /> 1 I MECHANICAL $ V ALUATION OF MECHANICAL INSTALLATION f" S <br /> 31 <br /> I I GAS 1 ROOFING I 1 SPECIALTY I I OTHER C (kb <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES 1 INO W ' C ' <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address • License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address License # <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 1 <br /> Address License # <br /> OTHER • COMPANY Tte AooriaG <br /> SIGNATURE a4 REGISTERED I (I/ N 1 FEE CURRENT I t') I <br /> Address p D, i3.7)( / 7-6 ../Dt. L Ca) ' -33,5 License# e - -2 6)420, <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 wl 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 />