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&fa-780-0320 City of Zephyrhills Permit Application Fax -813- 780 -0O21 <br /> Building Department <br /> Late Received Phone Canted for Permitting <br /> Owner's Name __Florida HQ pit a Zephyrhills Owner Phone Number _ � I 3 - 9 <br /> -� Owners Address L7050 Gall B1.v ,Zephyrh 11 s,T�1,� 33 1 owner Phone Number ( ... <br /> Fee Simple Titleholder Narno Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7050 Gall Blvd.,Zephyrhills, FL 33541 LOT# <br /> SUBDIVISION PARCEL ID # ._ <br /> IO0TAl7r'ED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED [ NEW CONSTR ADD /ALT I I SIGN ( 1 MOVE 1 I DEMOU.USH <br /> E INSTALL REPAIR <br /> PROPOSED USE I I SFR COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I I OTHER I <br /> DESCRIPTION OF WORK Fireworks Display <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> , .. - _:,- :w- .. °. —_ •r : si- �raz7. n,..;.� " ^�. ;t�> : 3:v . :,.t .:. �;?�::tr der =� _;�___ ,mot : :.,x -r. r:s a .. , v:: - :: ,�:rir <br /> n BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> [ ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 1 WRE <br /> I I PLUMBING $ <br /> I I MECHANICAL $ - VALUATION OF MECHANICAL INSTALLATION <br /> r� GAS 1 1 ROOFING I I SPECIALTY r OTHER <br /> FINISHED FLOOR ELEVATIONS r FLOOD ZONE AREA =YES I 'NO <br /> .c: 'R '��' ?is- F•'_t- 7': ='-.3' n?I.yT' <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED V / N FEE CURRENT r Y! N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT l Y! N 1 <br /> Address License # _ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ Td I FEE CURRENT Y 1 N <br /> Address - 1 License # <br /> MECHANICAL COMPANY 1 <br /> SIGNATURE REGISTERED } Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # <br /> OTHER / / • / r l, . COMPANY <br /> SIGNATURE <br /> . sit FEE CURRENT I Y I <br /> L � �i �� J <br /> Address FO Box 14 • e x % ' o • $ License* <br /> €:., s .d.. t1T ?ap trer a titi sisekast _ .. .. - -- - - - ,*€.;sEs. s± ?-,- .9tlSMI <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -0 -W Permit for new COTT stnrcilon, <br /> Minimum len (10) walking days after submittal date. Required onsite, Construction Plans. Stormwater Plans vr/ S/( Fence installed, <br /> Sanitary Facilities & 1 dumuster; Site Work Permit for subdivisions,arge projects <br /> COMMERCIAL Ailed) (3) complete sets of Building Pions plus a Life Safety Page; (1) sot of Energy Forms. R -O -W Permit for new cons;ructicn. <br /> Minimum len (10) working days after submittal date. Required onsila, Construction Piars, Stormvater Plans vri Silt Fence installed. <br /> Sanitary Facilities & i dumpstar. Site Work Permit for all new pro;ects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> " "PROPERTY SURVEY required for aft NEW construction. <br /> ti�n MMi,EIREA ( t` ' °NI '1 MA,mC ,.......TR M.« ...,......_: a i'c�F s <br /> D { rtrs:;: Directions: <br /> Fill <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 sane <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) <br /> Driveways -Not over Counter if on public roadways.,noeds ROW <br />