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4/ <br /> 813-780-0020 <br /> City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received q _ 1 Phone Contact for Permittin Permittin! <br /> / 8,. __ /664 <br /> Owner's Name Ve;�or Owner Phone Number <br /> Owners Address -371 tilru-KOTY\ rA 1 re� Owner Phone Number I <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 377 7 0 4 M et,J(o M A i pe- LOT # I 11 <br /> SUBDIVISION I &M.1R/Y 40t`L'G.01^ PARCEL ID #I3 aal— cJr)40 -00000 -611 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED u NEW CONSTR C ADD /ALT I I SIGN = n DEMOLISH <br /> H INSTALL C REPAIR <br /> PROPOSED USE = SFR Q COMM r—I OTHER 1 I <br /> TYPE OF CONSTRUCTION r---I BLOCK 0 FRAME I STEEL n I <br /> } <br /> DESCRIPTION OF WORK (1�} 0U oh L°ILe_.;T(ns -t0 <br /> BUILDING SIZE 10 1 5 r SO FOOTAGE I )5D I HEIGHT I <br /> UILDING I ) C S0 0p VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL IS AMP SERVICE n PROGRESS ENERGY I:3 W.R.E.0 <br /> r IS � `. � /'1(q • � ` .4-- <br /> F 1MECHANICAL IS VALUATION OF MECHANICAL INSTALLATION <br /> nGAS rI ROOFING I SPECIALTY r OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA I1YES NO <br /> SIANATR f�� //) 77 I['q- <br /> n / n In � ,� � /' COMPANY I �j/ / p +�pN D�L..pc�; � ,C� �itl� <br /> SIGNATURE 1...r ft.-c(4 REGISTERED Y / N I FEE CURREN Y / N <br /> Address I yi0c 5 m i se/Sd 1 License # 1 eae-05178 a <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURREN I Y / N 1 <br /> Address I <br /> 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURREK I Y 1 N I <br /> Address <br /> 1 License # <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREh I Y/ h1 I <br /> Address ( <br /> 1 License # I <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address 1 License # <br /> III1IIII1IIIIIIIIIIIIIII1IIIIIIIII <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-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 8 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 -0 -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 8 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 8 Contractor sign back of application, notarized <br /> H 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 />