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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � � phone Contact for Permitting - <br /> Owners Name Gamache,Ronald D&Rachel A Owner Phone Number <br /> Owners Address 37623 Gill Avenue,Zephyrhills,FL 33541 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS 37623 Gill Avenue,Zeph rhills,FL 33541 LOT# 288 � <br /> SUBDIVISION Grand Horizons-Phase Three ppRCEL ID# 34-25-21-0170-00000-2880 <br /> (OBTAINEO FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED e NEW CON5TR� ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK Demo existing shed&instail new 29x12 shed <br /> BUILDING SIZE SQ FOOTAGE 348 HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 20,000.00 <br /> �ELECTRICAL $ 500.00 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� [ ` � <br /> � <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO I <br /> �-F��-•••r••-•--•-•--r�FL--r:-B�i-F1-7-:-i-��FS--��4�-i-FFI-C.-.-G.S�T7.-F�7--��.�.�..-r�....-...r�S�i..r� <br /> . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER ' D J S �OMPANY B&H Construction of Central Florida <br /> SIGNATURE l�� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 7��7 �� License# LV5 0� <br /> ELECTRICIAN � D �(/"' ' �� �COMPANY James O.Morton Electric <br /> • SIGNATURE 77 REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 36906 Eiland Blvd.,Ze hyrhills,FL 33542 License# ER000244 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <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 /> IIIIIII111111111111111111111111111111111111111111111111111111111111 <br /> RE51 DENTIAL Attach(2)Plot Plans;(2j sets of Building Plans;(1)set of Energy Fortns;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 /> COMMERCIAL Attach(2)complele sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permil for new wnstruction. <br /> Minimum ten(10)working days after submiltal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meel compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> ..{-` ...rr.-�I.-1-1--F�-1-F:.-..-r���f�:....-�..�......r..-r..r�..-rI.-FF{..1-:.-..-r..-rT�...r..-r� <br /> Directions:' <br /> Fill out application completely <br /> Owner&ConVactor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the wntractor)or Power of Altorney(for lhe 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/Faotage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />