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813 -780 -0020 <br /> :-Cit of Zephyrhills Permit Application ' Fax -813- 780 -0021 2 BuirdingRepartment 1 <br /> Date Received – / / 0 II <br /> Phone Contact • r Pe ' itt <br /> Owner's Name tival hirMillr I / b C, //� <br /> `/ �/� � .�......� Owner Phone Number (� 7 G %3 J r 47� <br /> Owner' A. gyres ,r yJv 44.14„ it � j4 �- i/ / J I <br /> Owner Phone Number 1 1 <br /> t <br /> t 1 ,..■, <br /> Fee Sim TtUeholder Name <br /> • <br /> \ �- Owner Phone Number I <br /> Fee Simple Titleholder A ~ <br /> I <br /> JOB ADDRESS a <_ , LOT # I I <br /> SUBDIVISION / i 4v ∎,0•• OA , PARCEL ID #I 74 - 2.-b- 2 --! -0000 Doi 00 -ooc 0 I <br /> / (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I 1 DEMOLISH <br /> INSTALL r n REPAIR <br /> PROPOSED USE SFR I COMM I I OTHER I <br /> TYPE OF CONSTRUCTION BLOCK [ ] FRAME <br /> I 1 STEEL n ( I . <br /> DESCRIPTION OF WORK 1 k/ 2 c!/ � I <br /> BUILDING SIZE I 1 SQ FOOTAGE) I HEIGHT I I <br /> i BUILDING <br /> 1$ _7(267, od I VALUATION OF TOTAL CONSTRUCTION <br /> I (ELECTRICAL I SERVICE I AMP SE I 1 PROGRESS ENERGY r W.R.E.C. <br /> 1 (PLUMBING I$ I ' -" f e fla-ii <br /> 1 (MECHANICAL <br /> I$ '`--/ » <br /> I VALUATION OF MECHANICAL INSTALLATION <br /> 1 (GAS Ii ROOFING I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA I NO <br /> BUILDER �' , I <br /> �/f�� COMPANY �� ,,AA J--71- <br /> SIGNATURE / �� ✓'I . f 4//JI� REGISTERED I v im` T <br /> Y/ N FE€ cuRREn I Y/ N <br /> I <br /> Address I <br /> I License # I I <br /> ELECTRICIAN I COMPANY I <br /> SIGNATURE I REGISTERED I Y / N I FEE I <br /> E CURREN I Y/ N I <br /> Address I I <br /> License # I <br /> PLUMBER I COMPANY I <br /> SIGNATURE <br /> REGISTERED ED Y / N I <br /> I I FEE CURREN I Y/ N I <br /> Address <br /> 1 License # I I <br /> MECHANICAL I COMPANY I <br /> SIGNATURE I REGISTERED I <br /> I I y/ N F EE CURREN I Y/ N I <br /> Address ( I <br /> License # I <br /> OTHER I COMPANY I <br /> SIGNATURE I REGISTERED Y / N I <br /> FEE CURREN I Y / N I <br /> Address <br /> 1 License # I I <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Budding 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 />