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i <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 ' <br /> Bullding Department <br /> r Date Received 11/2/2016 Phone Contact for Permittin 13 399 — 6750 <br /> Owner's Name JUDY SCHEA Owner Phone Number 813-788-3222 <br /> Owner's Address 5433 5TH ST Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 5433 5TH ST LOT# � <br /> SUBDIVISION PARCEL ID1� 11-26-21-0010-09200-0050 <br /> (OBTAINED FROM PROPERTYTPJ(NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL X REPAIR <br /> � PROPOSED USE Q SFR Q COMM Q OTHER <br /> I TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK HALF BATH DRAIN REPEIPE 25 FT <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> XOPLUMBING $2�00 � �� <br /> i t'�Iy / � <br /> I QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION -�"� <br /> i � � � M <br /> �va� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER � <br /> IFINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � �/►� <br /> I �� <br /> o e ioo � eovoovaoato � o � � oo � t � a0000— <br /> I BUILDER COMPANY <br /> I SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> �I <br /> Address License# <br /> � ELECTRICIAN COMPANY <br /> i <br /> I I SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address License# �1 <br /> PLUMBER �'Q' �� COMPANY Ben Franklin Plumbing i ���� U U <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � Address 5808 n 56th st,tam a,fl 33610 �icense# cfc046000 <br />' MECHANICAL COMPANY <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N - <br /> � <br /> 1 Address License# <br /> OTHER COMPANY <br /> iSIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I Address License# <br /> � IIIIIIIIItlltlllllllllllllllllllllllllllllllltlllllllllllllllllllll <br /> I RESIDENTIAL Attach(2)Plot Plans;(2)sels of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal dale. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> ,� Sanitary Facilities 6 1 dumpster,Site Work Permit for subdivisions/large projects <br /> � COMMERCIAL Attach(2)complete sets of Building Plans pius a Life Safety Page;(1)set of Energy Forms.RA-W Permit for new construction. <br /> � Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Slortnwater Plans w/Silt Fence installed, <br /> � Sanitary Facilities 8 1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> I SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> i <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> i Fill out application completely. <br /> i Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AlC 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 (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 />