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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Budding Department <br /> Date Received Phone Contact forPermilNn$ 710 — <br /> rrr r r-r1_r Ir <br /> �i, <br /> Owner's Name e"& L 11 , LLC Owner Phon Number {l 1-� <br /> Owner's Address Owner'Phone Nf u he <br /> __ r <br /> Fee Simple Titleholder Name N P Owner Phong Number <br /> Fee Simple Titleholder Address i" <br /> —I JOB ADDRESS V \Wckomma <br /> m g �( l I n d fh LOT# �� I <br /> SUBDIVISION M�� V 'SPARCEL Io1R 1-r�f�"' Or ,71✓ 00MO`0t) 0 <br /> (OSTAm®FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> = INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK I�Q FRAME � STEEL <br /> ~U+ ' O( V' J <br /> DESCRIPTION OF WORK XMU X I QG <br /> BUILDING SIZE I SO FOOTAGEC HEIGHT C� <br /> BUILDING S ^� VALUATION OF TOTAL CONSTRUCTION <br /> �2ELECTRICAL S M O+ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING S �V• <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER PANY� l l�." �� h �CS7C� I�S C �l�l ) � YlC.. <br /> SIGNATURE REGISTERED I WN I FEEcuRREn /N Y <br /> Address 5-d Vb 5 eo:Zkywhil f -q(- License# -F—C Co <br /> ELECTRICIAN a � 0. . Nt C_ <br /> SIGNATUREE Y N FEE CURRE11 Y I N <br /> Address LImAWftj,: REG�TSTE-RD <br /> 1 License# ec r3oo 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGIsrErtED Y/ N FEE CURREt Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN Y I N <br /> Address I License# F� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/N <br /> Address License# <br /> IIIIIIIIIIIIf11111Illlflffllfflffffflfllfffflfflflfllflfl / IIf1111I1 <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 dale. Required onsite,Construction Plans,Slormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large 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,Slormwaler 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 /> 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 S7500) <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 (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if an public readways..needs ROW <br />