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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 � <br /> Building Department� <br /> Da4e Received Phone Contact for Permitting � — � / / <br /> �, <br /> Owner's Namle Six Feet Under LLC Owner Phone Number 813-997-2598 <br /> � <br /> Owner's Address 31448 Reed Road Dade Ci , FL 33523 Owner Phone Number <br /> Fee Simple Titleholder Name Six Feet Under LLC Owner Phone Number <br /> Fee Simple Titleholder Address 31448 Reed Road Dade Ci ,FL 33523 <br /> JOB ADDRESS 5520 21st Street Ze h rhills, FL 33542 LOT# � <br /> i <br /> SUBDIVISIO Yin lin PARCEL ID# 12-26-21-002A-00100-0020 , <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q 0 DEMOLISH <br /> i e INSTALL B REPAIR II <br /> PROPOSED USE � SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME 0 S,TEEL 0 <br /> DESCRIPTION OF WORK Re lace windows �.� I`���V�- �rU� 1 <br /> BUILDING SIZE 26x40=1040 s ft SQ FOOTAGE� HEIGHT <br /> �BU LDING 2000 VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> I OPLUMBING $ � ��� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION� � <br /> OGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLIOOR ELEVATIONS FLOOD ZONE AREA DYES NO �� <br /> U,�d ' <br /> BUILDER � � �%/'{ � `` � OMPANY ,{�r"� l� ����D'� ���' I�`�C' <br /> SIGNATURE ��� REGISTERED Y/ N FEE CURRE� Y/N <br /> Addres i License# <br /> ELECTRICIAN COMPANY �'!'?��, � GC.�/� G <br /> SIGNATUREi REGISTERED Y/ N FEE CURRE� Y/N <br /> � <br /> Address License# �L ,3�� 3�3 <br /> r r <br /> �I,�,p�� ! <br /> PLUMBER fD, COMPANY � � C//p`�1• �I� � <br /> SIGNATURE �� REGISTERED Y/ N FEE�CURRE� Y/N <br /> Address � ��, � �� �� C�1 License# Q ���Z <br /> MECHANICAL �j- (I,�n� ��n COMPANY �4 � � � fG GLh��. �-G <br /> SIGNATURE �����` ��p�" REGISTERED Y/ N FEE URRE� Y/N ( <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I <br /> Address License# , <br /> I � <br /> RESIDENTIiL 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/Silt Fence installed, <br /> Sanitary Facilities&1"dumpster�Site Work Permit for subdivisions/large projects <br /> COMMERCI�L Attach(2)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 /> i *""•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 52500,a Notice of Commencement is requ (A/C upgrades over$7500) <br /> ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drivew I ys-Not over Counter if on public roadways..needs ROW , <br />