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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department (/ 2. 9 2 ' <br /> Date Received — I 610 ' 355 - r <br /> Phone I <br /> Contact for Permittin � � / <br /> Owner's Name et A, Of Z6i' Y /�JL1S Sk yelrE Owner Phone Number C7 Q /3 - 78D -000 <br /> CI Owner's Address 5335 8J S zeio yx.#1US Owner Phone Number 8/3 --783— 93 / / ( G i -y F <br /> Fee Simple Titleholder Name A/ 4- Owner Phone Number <br /> Fee Simple Titleholder Address A/4 JOB ADDRESS 42 7y SkY4JVV L44/6, Z.6 Y,e1MZS LOT # <br /> SUBDIVISION PARCEL ID# /9 OO /0 OO' Oa <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR n ADD /ALT SIGN n n DEMOLISH <br /> INSTALL I I REPAIR <br /> PROPOSED USE n SFR I I COMM 1 I OTHER 1 <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME 1 1 STEEL n I 1 <br /> DESCRIPTION OF WORK /4/S791..L. CDm✓h c./9L &69SS le ,JIDRS /,t) s# /9 a at/ S <br /> BUILDING SI -50X ADD SQ FOOTAGE Soot) / 1 ( nvzi/_ Al <br /> HEIGHT /9 — QCI /C.4/�✓ <br /> I (BUILDING $ 5,,, OO 00 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 00 AMP SERVICE 1 1 PROGRESS ENERGY Cif W.R.E.C. <br /> 1 (PLUMBING $ / g <br /> I (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO r p: -' <br /> nGAS n ROOFING n SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS SVV hy 31 FLOOD ZONE AREA 1 IVES NO <br /> liNikiiiiiiiiiiiiiiiiiiiiiiiiiiiii ' `` <br /> BUILDER y /, (N 7. <br /> �i COMPANY L3"Jck edubw1 � eize , JA/c_ <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURREF I Y/ N <br /> Address , 038 C - / T A ' A E L - C / . Z- as /c-C., License # I , <br /> ELECTRICIAN '' �1._ � , O P COMPANY K petted c�xutit.[.�- , ..€44 ,, c , ..€44 ,, c SIGNATURE i .�Ad i' ." / . k REGISTERED 1 Y / N I FEE CURREN 1 Y / N 1 <br /> Address 0 // , lL:.��� l ___ ltlill�� 'M -S License# I gc /3Zz 5 <br /> PLUMBER COMPANY <br /> SIGNATURE / 9, REGISTERED I Y/ N 1 FEE CURREI I Y/ N I <br /> Address I License # I l <br /> MECHANICAL COMPANY <br /> SIGNATURE , 4. REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE ' "- REGISTERED 1 Y/ N 1 FEE CURREN I Y / N I <br /> Address License # I <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 $7500) <br /> ** Agent (for the contractor) or Power of Attomey (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 />