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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 /> Owner's Name ` iliu{ twner Pho\1 Number 0 <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name 1 IJ�C� \ Owner Phone Number <br /> Fee Simple Titleholder Address F14_%K(J-0NN <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL <br /> 20 <br /> DESCRIPTION OF WORK r- �-Lko r <br /> BUILDING SIZE SQ FOOTAGE H GHT <br /> BUILDING $�� VALUATION OF TOTAL CONSTRUCTION <br /> MELECTRICAL F5oo <br /> AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> PLUMBING $. , <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER J/C � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> .- . <br /> BUILDER ,/� r COMPANY <br /> SIGNATURE v-=- REGISTERED Y/ N FEE CURREN Y/N <br /> Address L. �L, License# <br /> ELECTRICIAN _ `°-COMPANY <br /> SIGNATURE` _- A- REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LLN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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(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 w/Silt Fence installed, <br /> SariRary Facilities 81 duinpsfe�:'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 /> 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 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 on public roadways..needs ROW <br />