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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received 1 °le /U Phone Contact for Permitting -- S� <br /> _ Owner's Name • ; fidC' 4 Lo K;,,c /S Owner Phone Number <br /> Owner's Address //i0 eU//,1 (-1/)t4'G/f Y A4T�lri 5 .7 Zion 5 Owner Phone Number <br /> Fee Simple Titleholder Name. Owner Phone Number <br /> Fee Simple Titleholder Address 1 <br /> JOB ADDRESS 7 3 20 c) ( t� / Dc( ev C/ c2_. (^ , /1/5 LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I 1 1 DEMOLISH <br /> INSTALL j REPAIR <br /> PROPOSED USE I 1 SFR ri COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I 1 / BLOCKS h FRA / <br /> ME I I STEEL 1 I 1 I <br /> DESCRIPTION OF WORK S J 1 454+" 5;4)190r //'e i//Dee A: , s,»df' A4 7/ 7 ; t?5 <br /> BUILDING SIZE O l X 2'C{ ` SQ FOOTAGE /7 CC W HEIGHT <br /> I (BUILDING $ VALUATION OF TOTAL CONSTRUCTION 32 SJOaa . Ua <br /> I ELECTRICAL $ AMP SERVICE I i PROGRESS ENERGY I I W.R.E.C. <br /> PLUMBING $ -- L f t V r . Gi Mfils' <br /> IMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Q) S abS <br /> IGAS I 1 ROOFING ri SPECIALTY I 1 OTHER 3 w i(O <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES O c"1 C (IY‘ <br /> 4j*/L <br /> BUILDER --' re/. ' COMPANY K S & � lA C .11 0,-i SIGNATURE REGISTERED I Y/ N I FEE CURREF I Y/ N J <br /> Address f <br /> dd 6 t ctC <br /> pi-z, sir ��� License # �p <br /> ELECTRICIAN cC e '-) COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREF I Y/ N I <br /> -3 Address 1 -- ---4 License # <br /> PLUMBER ...L e, /''ti — "� CP\ COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREF I Y/ N I <br /> Address ,,� License # <br /> MECHANICAL l jCJ A ° COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURREN 1 Y/ N I <br /> Address 1 License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREF I Y/ N I <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 />