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_ � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Dale Reeelved <br /> Phona Contacl for Permlttln <br /> Owner's Name Elizabeth J Cam bell� owner Pno�e Numbar 813-713-0655 <br /> Owner'sAddress 4525 BLOSSOM BLVD OwnerPhoneNumber ' <br /> Fee Slmple Tltlaholder Name Owner Phone Numbar <br /> Fee Simple Titleholder Address <br /> JOBADORESS 25 BLOSSOM BLVD ZEPHYRHILLS FL 33542 L0T8 �� II, <br /> sueo�wsioN Orange Blossom Ranch pARCELIDft 15-26-21-0170-02000-OOAO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORKPROPOSED NEWCONSTR ADD/ALT Q SIGN Q 0 DEMOLISH <br /> INSTALL B REPAIR � <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � B�OCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK AC CHANGE OUT <br /> BUILDING SIZE SQ FOOTAGE� HEIGNT �_� i <br /> �BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ _ ^ J�/�� <br /> ' � c�« <br /> �MECHANICAL a 3550.00 VAIUATION OF MECHANICAL INSTAILATION � <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGMATURE REGISiEREO Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address Lfcense# <br /> MECHANICAL COMPANY CRADDOCKS AC& HEATING <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address HWY 1 D DE CITY FL 33525 �icense�t CAC1816730 <br /> OTHER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N ' <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minfmum ten(10)workfng days after submittal date. Requ(red onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities 8 1 dumpster;Sile Work Permit for subdivisionsAarge proJects <br /> COMMERCIAL Altach(3)complete sets of Building Plans plus a Life Safety Page;(1)sel of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days atter submillal tlate. Requlred ons(te,ConstrucUon Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facililies 8 1 dumpster Site Wark Permit for all new projects.All wmmercial requiremenls must meet compliance <br /> SIGN PERMtT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW canstruclion. <br /> Dlreetlons: <br /> Fill out applip0on completely. <br /> Owner 8 Contraclor sign back of application,notarized <br /> If over 52500,a Notice ot Commencement Is requlred. (A/C upgrades over 57500) <br /> " Agent(Ior Ihe cantractor)or Power of Attorney(for the owner)would be someone with notarized letler from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of ApplicaHon Only) <br /> Reroofs it shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />