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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> JBuilding Department I,, 2 <br /> Date Received Phone Contact for'Permitting � (053 '12-1. <br /> w�- /► <br /> Owners Name 1_G ANLEY Owner Phone Number l 1 <br /> 210 <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESSHWSMS-ry I LOT# <br /> SUBDIVISION ICRE74VIEW LLS PARCELID# -25-21"0i2o- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER SVG&rC LA <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL ^= <br /> DESCRIPTION OF WORK oJll n eD S w W l 1N rots <br /> BUILDING SIZE SQ FOOTAGE ' HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION ' <br /> =ELECTRICAL $ �pr 1 AMP SERVICE 'E:Y10' PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ -ll 11 �M� /75r <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION V <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NOV �l Y v <br /> . . . . . . . . . . . . . . . . . . . . . . . . . .... la.l_I�. ..._. . . .. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address 1h I License# <br /> ELECTRICIANS }� ��/ _ _ !�-_COMPANY— <br /> SIGNATURE `— (�.��_ -REGISTERED - 7 _ FEE"CURREf`--_ ._Y/ Y 1 <br /> Address —�_" pL� ice Jr# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> 111111111111111111111111111111111111111111111111111111'1111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fonns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required orisite,Construction Plans,Stormwater'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,Stornwater 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 /> 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$7500) <br /> Agent(for the contractor)or Power of Attomey(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 on public roadways..needs ROW <br /> I <br />