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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 Permitting 352 588 -- 0910 <br /> �-+ c' <br /> Owner's Name J O Ar+ 4�� Owner Phone Number d � � g'2- ,3 <br /> Owner's Address 31 l��h W G.� � �lr, Owner Phone Number �13^'� g Z- 3 3?3 <br /> Fee Simple Titleholder Name Fee Simple Title Holder Owner Phone Number � <br /> Fee Simple Titleholder Address Same as above <br /> JOB ADDRESS �?7I(� O r �G I �Y. LOT# ��y� <br /> SUBDIVISION PARCEL ID# �Q �2�j "� �l Z.O-�000--0��i a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q MO\/E Q DEMOLISH <br /> INSTALL x REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION �x BLOCK � FRAME � STEEL Q OTHER <br /> n "`nC1�0Y Ra '^ �C�(���G �->' � 1"L.a�C �L... <br /> DESCRIPTION OF WORK Fe�����,��,�a�ailiz�t' � � � <br /> BUILDING SIZE SQ FOOTAGE I HEIGHT N A � <br /> BUI�DING $ VALUATION OF TOTAL CONSTRUCTION � 1 � � � <br /> N/A <br /> � ELECTRICAL $ AMP SERVICE � PROGRESS E=NERGY � W.R.E.0 <br /> N/A <br /> � PLUMBING $ <br /> N A � � tJ .t f�"r <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> N/A t <br /> `���1 � <br /> � GAS � ROOFING 0 SPECIALTY Q OTHER �/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES �NO �� <br /> BUILDER '� / OMPANY W.A. Neumann Construction, Inc. <br /> SIGNATURE W REGISTERED Y/ N FEE CURRENT Y/N <br /> Address 12630 Curle Street Suite104 San Antonio F1. License# ��� 132(p!G L <br /> 33576 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE N/A REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE N�A REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> MECHANICAL COMPANY � <br /> SIGNATURE N�A REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE N A REGISTERED Y/ N FEE CURRENT Y/N <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 /> *"*PROPERI'Y 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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />