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e�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 � <br /> . Building Department � <br /> • Date Received I <br /> �� / ] � PhoneContactforPertnitting - I <br /> TINLEY PATRICIA M 8 BURGESS JOYCE&BURGESS STEVE 813-838-2495 I <br /> Owners Name Owner Phone Number <br /> � 38228 4TH AVE � <br /> i Owners Address Owner Phone Number I <br /> i <br /> IFee Simple Titleholder Name Owner Phone Number I <br /> I <br /> I Fee Simple Titleholder Address I <br /> I JOB ADDRESS 38228 4TH AVE ZEPHYRHILLS FL 33542-0975 LOT# � I <br /> I <br /> SUBDIVISION PARCEL ID# 11_26-21-0010-18700-0195 I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) � <br /> WORK PROPOSED e NEw CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH I <br /> INSTALL REPAIR I <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q I <br /> REMOVE AND REPLACE SIZE FOR SIZE WINDOWS-9 <br /> DESCRIPTION OF WORK I <br /> i <br /> BUILDING SIZE SQ FOOTAGE HEIGHT I <br /> T�7TTTrT IT,r TITr , <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION I <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. I <br /> I <br /> QPLUMBING $ aO�GY ��t,��� I <br /> lLj� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION _ � ��/,� i <br /> w <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � {' �� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO I <br /> . . . . ..Q^��.���� . . . . . . . . . I <br /> �.���� ' .����n-r��� ✓� G� • NEW SOUTH WINDOW^.—.�.��.����.�-r���.�� I <br /> BUILDER • � COMPANY • • • <br /> SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N I <br /> � <br /> 4901 OAK FAIR BLVD,TAMPA FL 33810 CRC133D822 i <br /> Address License# <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> � <br /> i <br /> PLUMBER COMPANY i <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# I <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIItlllllllllllllllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)comptete sets of Building Plans ptus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/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 /> +1—F�bi-J..FFI.-�1-4a—b..�4-F�I+I..FFI—�1..1..4�1..1..4-1-�1—FF4-�1.-4.1�f..F1-��1—�1-��1—�1..1-.f�F.�F1..FI..FI..FF <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. (A/C 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 I <br /> OVER THE COUNTER PERMIl71NG (copy of contract required) � <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) I <br /> Driveways-Not over Counter if on public roadways..needs ROW � <br /> I <br /> I <br /> I <br /> i I <br />