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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 ` <br /> f"!Tf"7T(1 1 T fT i i"771-m-1-i <br /> Owners Name -IL LLC. Owner Phone Number <br /> Owners Address 5T Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS . 9m Y AN5 '4L LOT# <br /> SUBDIVISION PARCEL ID# ~aIL9-&\— <br /> 1 <br /> 0 <br /> STA1NED FROM pROPERTY 7AX NOTICEi <br /> WORK PROPOSED NEW CONSrR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME = STEEL = <br /> DESCRIPTION OF WORK Mk <br /> J BUILDING SIZE O X O SQ FOOTAGE® HEIGHT <br /> BUILDING (S ' f <br /> L• o f�� VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL S 2 Q© AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING S J <br /> =MECHANICAL Is VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY I UI�Apxivan -files <br /> SIGNATURE REGISTERED Y N FEE CURREN Y/N <br /> Address 33� _License# <br /> ELECT fAN COMPANY '■ �trl./i T tJ C-)e�i C. <br /> SIGNATUR REGISTERED Y N FEE CURREf Y/N <br /> Address a License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEECURREn Y/N <br /> Address License# F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURRQ. <br /> Address License# <br /> IIIIIIIIIIIIIIIitt11111llllllllllllllillllll1111111lIIIIIIIIIIIIIII <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;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&1 dumpster.Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)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 wl 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 /> . . . . . . . <br /> Dlrentions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> [favor$2500,a Notice of Commencement Is required. (AIC 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 PERMUTING (copy of contract required) <br /> Reroefs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />