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813 -780 -0020 City of Zephyrhills Permit Application Fax - 813-780 -0021 <br /> Building Department <br /> Date Received ( / ®J& Phone Contact for Permitting ! 3 7 -- 7 <br /> Owner's Name MAN ' / '15L - VC& Owner Phone Number ?/3 ,6 <br /> Owner's Address 3905 5 / , /L/ J 4' /qvi✓ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5/9-717/, LOT # 2 5 <br /> SUBDIVISION (I' S % PrC 12E S PARCEL ID# kg -_ 24 - 21 - 0/60 - 6vooO -0zs <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1> SFR I 1 COMM n OTHER 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME n STEEL 1 I OTHER I I <br /> DESCRIPTION OF WORK J 1 i (1 - 3 7 / 0 1 4, W r af1GU / j i- k r lit 3 c5 14-fC S <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 6r <br /> \ BUILDING $ 17/Y,--2- ( 1() VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I 1 PROGRESS EN - Y n W.*. C. <br /> 1 I PLUMBING $ 1� <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLAT •N <br /> I 1 GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES LINO , <br /> BUILDER 1 JR � COMPANY USA ,1/r -., e <br /> SIGNATURE <br /> `/ REGISTERED 1 Y/ N 1 FEE CURRENT l Y/N 1 <br /> Address 2o/ /V `t C% ' 77174741- cL _3 Y/ C � <br /> j I License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address I License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N j FEE CURRENT 1 Y/ N I <br /> Address <br /> 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 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 $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 />