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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> y�L.. t �i� <br /> Date Received ��?i�� � phone Contact for Permitting �i�. �p � — � d <br /> � 1 1 � 1 1 1 � 1 1 � � 1 <br /> Owner's Name �lV� � �l� � ` V Owner Phone Number <br /> Owner's Address v v Z � "� l� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> � � <br /> Fee Simple Titleholder Address <br /> ` 7422 Gall Blvd, Zephyrhills, FL 33540 � <br /> JOB ADDRESS LOT# <br /> 35-25-21-0010-08800-0000 <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMNI � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> Install Radio Frequency dialer to monitor existing fir alarm system. <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ i2oo.00 VALUATIONOFTOTALCONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ 2 C�� �/t_ <br /> � ���.. <br /> f �� a�'�6L <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> ����( <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER� �� �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO � <br /> ���. <br /> BUILDER COMPANY • <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED , Y/ N FEE CURRE� Y/N � <br /> Address License# <br /> Wayne Automatic Fire Sprinklers <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> 3226 Cherry Palm dr, Tampa, FL 33619 EC13005133 <br /> Address License# <br /> Illllllllllllllllllltltlltlllllllltlllllltlllttllltllllttttlllllllt <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/Siit 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 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 completeiy. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement ls required. (AIC 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 PERMI7TING (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 />