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1 <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 , ._ <br /> Building Department - <br /> Date Received � �^. phone Contact for Permittin — /`����) <br /> Owners Name �IIIa171S, Robert L&Barbara J.,LIVIf1g TfUSt Owner Phone Number <br /> Owners Address 38402 Callaway Blvd,Dade City,FL 33525 Owner Phone Number <br /> Fee Simple Titlehoider Name Same Owner Phone Number <br /> Fee Simple Titleholder Address Same <br /> JOB ADDRESS 37639 Core Lewis Avenue,Zeph rhills,FL LOT# 322 <br /> SUBDIVISION Grand Horizons PARCEL ID# 34-25-21-0180-00000-3220 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw coNs7R� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br />, PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK Shed,Screen Room,Carport,Sidewalk,Driveway&Steps <br /> BUILDING SIZE SQ FOOTAGE 662 HEIGHT 9��O�� <br /> �BUILDING $�`��/ � VALUATION OF TOTAL CONSTRUCTION <br /> / <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY /W.R.E.C. <br /> i��f �� i <br /> 0 PLUMBING $ -���•' � ��(� ,� <br /> v <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' ��� � I <br /> � 1 ���� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> � L � <br /> BUILDER � ��c�ANY B&H Construction of Central Florida, Inc. <br /> SIGNATURE ,i;� REGISTERED Y/ N FEE CURREA Y/N <br /> Address 4025 ris Bridge Road,Zephyrhllls,FL 33543 ucense# CBC057782 <br /> ELECTRICIAN COMPANY <br /> I SIGNATURE REGISTERED Y/ N FEE CURREA 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 FEECURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10j working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> I 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 applicalion completely. <br /> Owner&ConVactor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized Ietter from owner authorivng same <br /> OVER THE COUNTER PERMI771NG (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />\ <br />