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. . e�3-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buflding Department <br /> Date Recefved <br /> Phone Contacl tor Permittin <br /> Owner's Name owner Phone wumber 813-778-2117 <br /> Owner'sAddress 4509 BIOSSOfII BIVd OwnerPhoneNum6er <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 4509 Blossom Blvd Ze h rhills FL 33542 LOT►t � <br /> sueoiwsioN m Ranch PARCEL ID# 15-26-21-0170-01000-0060 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> INORK PROPOSED NEW CON57R ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTA�L B REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER ' <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK AC Change out Z <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �� <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R�E.C. <br /> �PLUMBING $ A '��Z� <br /> �MECHANICAL a 3265 00 VALUATION OF MECHANICAL INSTALLATION ' I <br /> � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER ��J�,,- <br /> �� v <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO '� <br /> eUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY � <br /> SIGMATURE REGISiEREO Y/ N FEE CURREh Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# i <br /> MECHANICAL COMPANY li <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N ! <br /> Address License# CAC1816730 <br /> OTHER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRED Y/N <br /> Address License# <br /> RESIDENTIAL Altach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanflary Facllitfes 8 1 dumpster,Site Work Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Altach(3)complete sets ot Building Plans plus a LiFe Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submilfal date. Requlred onsite,Construction Plans,Sto�mwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permlt for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Atlach(2)sets of Engineered Plans. <br /> ••'•PROPERTY SURVEY required for all NEW construction. <br /> Directlons: <br /> Fill out applfcaUon completely. <br /> Owner 8 Contractar sign back of application,notarized <br /> If over 52500,a Notice o(Commencement Is required. (A!C upgrades over 57500) <br /> " Agent((or ihe contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicallon Only) <br /> Reroofs(f shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Foolage) <br /> - Drlveways-Not over Counter if on public roadways..needs ROW <br /> � <br />