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s�saso-oozo City of Zephyrhills Permit Application Fax-8 80-0021 <br /> , Building Department <br /> --�- <br /> Date Received �' S,�l�] Phone Contact for Permitting $�3 873 - 9590 <br /> Owner's Name L. Brant Blessin Owne one Number - -5554 <br /> owner's Address 38357 CR 54 Ze h hills FL 33542 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) - , <br /> WORK PROPOSED e NEW_CONSTR B ADD/ALT � SIGN � Q DEMOLISH - <br /> INSTALL REPAIR � <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK Reinstall existin O�G' SI n in ori inal location, connect to existin electrical. <br /> BUILDING SIZE .SQ FOOTAGE� HEIGHT <br /> �BUILDING $ 2�000.00 � VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> 200.�� <br /> �PLUMBING $ ��� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> _ _ _ '_ -_ - ■_�e - ^ 1• ��.l�. <br /> BUILDER COMPANY <br /> SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address '� License# <br /> e <br /> ELECTRICIAN �C MPANY Up► SI n & Maintenance, LLC <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> ,address 39011 CR 54 Ze h rhills FL 33542 ���nse# ES12000904 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE I ERED Y/ N FEE CURRE� Y/N <br /> Address ��' License# <br /> OTHER COMPANY U/� SI n & Maintenance LLC <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �icense# ES 12000904 <br /> _ � � � � � � � � .� � te � .� � � �- � e � :�--�-� eeo � � � � � o � � o � � o � � ot � � � �'t � � � � � � � t � � � � � � � � � � � � <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 Pertnit 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 (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />