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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received -� '-/� Phone Contact for Permittin $13 689 _ 2082 <br /> - TTTT - r - IT <br /> Owner's Name GERTRUDE VOORHIES Owner Phone Number 813 <br /> Owner's Address 5107 1ST Street � Ze h rhills Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # �� <br /> SUBDIVISION ZEPHYRHILLS COLONY PARCELID# 1-2 —21-0010-12800—OOSO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK EQUAL CHANGEOUT 2 TON CONDENSER & AIR HANDLER <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ERGY Q .R.E.0 <br /> QPLUMBING $ � �O �� <br /> QMECHANICAL $ 4837 -� VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER —�`���� � _ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES N <br /> _. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL ; � /' �1 COMPANY GULF COAST AIR SYSTEM, INC. <br /> SIGNATURE ��t� REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ��X 1070 VALRICO, 33595-1070 �icense # CACO36826 � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> 111111111111111111111111111111 1111111111111111111111111111111111111 <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 /> 1 <br /> Directions. • <br /> Fill out application completely <br /> Owner 8� Contractor sign back of application, notarized <br /> If over a2500, a Notice of Commencement is required. (A/C upgrades over a7500) <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 (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />