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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> I <br /> Date Received <br /> I <br /> 1 1 1 1 11 t l l l t l l l Phone Contact for Permitting _ -- / <br /> Owner's Name �Ob (\SW\ t ' I (^(\lY( t .L L - Owner Phone Number �1 '3'7�(C)—( RD(.° <br /> Owner's Address 5 1S e . 49 0 .S t. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5 i S of o O' 5-I- LOT # <br /> SUBDIVISION PARCEL ID# 1,D - .)L0 ' ? -00 k 0 -0010o --003 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I !' I MOVE 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I OTHER I! I <br /> TYPE OF CONSTRUCTION I I BLOCK 11 FRAME I 1 STEEL I I 1 OTHER I I <br /> DESCRIPTION OF WORK eQuAt, Ac cN G f ouT 7?) I Ncufo E M + Cop OeNJ cJ f'C_ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I I BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE PR : ENERGY <br /> I 1 I I w.R.:.C. <br /> I 1 PLUMBING $ L/ <br /> ' 4 // MECHANICAL $ <br /> LL q 43L VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS I I ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES 1 INO <br /> BUILDER COMPANY <br /> SIGNATURE <br /> REGISTERED 1 Y / N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N . FEE CURRENT 1 Y/ N I <br /> Address License # I <br /> PLUMBER <br /> COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # I <br /> MECHANICAL ,(1/\ Q COMP (LU n see no s Q -( ✓l <br /> SIGNATURE a � ` <br /> cT ( REGISTERED 1 Y/ N 1 FEE CURRENT + Y/ N I <br /> `f� <br /> Address 1�' \2 (AS � L4 ) I Lu z_ 3 3 , �( 0( License # l—( ,`k 13 67(0 <br /> OTHER COMPANY 1 <br /> SIGNATURE REGISTERED 1 Y/ N 1 I FEE CURRENT 1 Y/ N I <br /> Address License # (— <br /> 1 <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. I <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 />