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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> )]/ I f <br /> Il <br /> • <br /> Date Received / -2 (p - 8 <br /> w Phone Contact for Permittin, I 1 Z�_ - bCo ,1 <br /> Owner's Name E. t f r1 ..... Owner Phone Number 939 - 5 0 - 3938 <br /> Owner's Address 3 7 to 3 3 &oc^• l,, LLuQ 4S A LTV-- Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I3 ?L 33 6, - ,cc4i 1 Pill LOT# 3?3 <br /> SUBDIVISION in.cC, 14ortwiN 5 PARCEL ID #I 34 AS- al- 01Ar>- rl0000 — 3330 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEw CONSTR ET ADD /ALT I SIGN Q DEMOLISH <br /> C INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM r] OTHER I I <br /> TYPE OF CONSTRUCTION Q BLOCK [1 FRAME —i "� STEEEL n <br /> DESCRIPTION OF WORK l av,cd 5 L�.CC�U� F� (� `,�• t � �(1f1 PI e <br /> BUILDING SIZE /0)4. /9. � SQ FOOTAGE I 1 aV HEIGHT <br /> 1 UILDING I$ / 3S •C° VALUATION OF TOTAL CONSTRUCTION <br /> [ ELECTRICAL I$ AMP SERVICE = PROGRESS ENERGY I=3 W.R.E.C. <br /> [PLUMBING $ � 1 � ik <br /> UI <br /> [ MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION CV <br /> [GAS 1 ROOFING D SPECIALTY r OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [YES NO <br /> BUILDER { 1 COMPANY 1 Onsre' rw <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N I <br /> Address IyoasMorr:sartc j z Q • 7 C r License# 1 0.0 5 - n3 a <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN. I Y/ N I <br /> Address <br /> 1 License # <br /> PLUMBER COMPANY I <br /> SIGNATURE <br /> REGISTERED l Y/ N I FEE CURREN 1 Y/ N I <br /> Address 1 I License # <br /> MECHANICAL COMPANY I <br /> SIGNATURE <br /> REGISTERED 1 Y/ N I FEE CURREr. 1 Y/ N I <br /> Address <br /> 1 License # l <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N I <br /> Address 1 <br /> 1 License # <br /> 11111111111111111111111111111111111 111 111111111 11111111111111111111 <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 87500) <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 />