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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 I <br /> , ' Building Department �i <br /> Date Received y II <br /> Phone Contact for Permitting � /�� - � <br /> t 1 1 t t t t 1 1 1 1 1 1 <br /> Owner's Name �►' � /r-i �i1Yl�G� Owner Phone Number (972) 908-4165 <br /> Owner's Address 401 Merritt 7, NOIW21k, CT 06851 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 38508 A Ave, Ze h rhills, FL 33542 LOT# /� " l(�i <br /> j'iSGO w <br /> SUBDIVISION o CiT oF �6Pa1 .tNi S PARCELID# 14-26-21-0010-01700-0010 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> c <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL , Q <br /> Remove existing Verizon aluminum wall sign and replace with new Frontier Communications non-illuminated,aluminum wall sign <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ 1,528.57 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � � � <br /> I � � <br /> � � � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ( � / � <br /> � � � <br /> �� a� <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER � � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <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 C1JRR Y/N <br /> Address �—License - _ <br /> OTHER �COMPANY Magee Si n $@NIC@ Iv`'""- ' <br /> �� <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N �� <br /> Address 1511 20th Ave. E., Palmetto, FL 34221 �icense# ES1200133. <br /> eee � a � � � i � � � � � � � � � � � ii � � i � � � � � � � .� � � � � � � ��t � � � � � � � � � � ���-�� � � � � � i � � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms�W Par,,,iY�-for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary FaciliGes&1 dumpster;Site Work Permit for subdivisions/large.projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)se4 of Energy Forms.R-O-W Permitfor new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans;Stormwater Plans-wl-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 /> Directions:• <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is 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 PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />