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s�saeo-oozo City of Zephyrhills Permit Application Fax-873-780-0021 <br /> Building Department <br /> Date Received phone Contact(or Permitting 813 294 _ 5158 <br /> Owners Name OwnerPhone Number <br /> Owners Address OwnerPhone Number <br /> Fee S(mple Tideholder Name Owner Phone Numher <br /> Fee Simple.11tleholder Address <br /> JOB ADDRESS 38219 7th Ave.Ze h hilis FL 33542 �or# � <br /> SUBDIVISION PARCEL IDiF <br /> (OBTNNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> B INS7'ALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTIOIV Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK Reroof,ramove/replace windows,Replace HVAC,plumbing repairs,elecUical repairs.RemoveJreplace fence. <br /> BUILOING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILOING S VALUATION OFTOTAL CONSTRUCTION <br /> QELECTRICAL 5 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. l � <br /> PLUMBING S <br /> � <br /> QMECHANICAL 5 VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> sut�oeR COMPANY Kems Famil "Construction Com an Inc: <br /> SIGNATURE r�c�srErteo Y/ N FEE CURREA Y/N <br /> Address License# CBC1255980 <br /> ELECTRICIAN COMBANY Reese Electripl,Inc. <br /> SIGNATURE rtEcisrEtem Y/N �cuwten Y/N <br /> Address License# <br /> PLUMBER COMPANY Jackson Plumbin Inc. <br /> SIGNATURE REGISTEtiED Y/ N FEE CURRE� Y/N <br /> Address l�cense# <br /> MECHANICAL COMPANY Air Conditionin Ex erts Inc. <br /> SIGNATURE r�cisr�aen Y/N �cuwxen Y/N <br /> Address �5 !'Z� ���°���C(/1 LJcense# 1`5 L �� � � • <br /> OTHER COMPANY The Roofin CORI an <br /> SIGNATURE r�cisr�xeo Y/N �cuaqEn Y!N <br /> Address License# <br /> IIIIIIttlllllltllll _IIIIItlllllllllllllllllllllllllllllllllllltltlll <br /> RESIDENIIAL Attach(2)Plot Pians;(2)sets of BuOding Plans;(1)set of Energy Fartns,R-O-W Pertnit tor new consWction, <br /> Minimum ten(10)v.vrking days after submittal date. Required onsite,ConsWcBon Plans,Stortnwater Plans wl Sill Fence installed, <br /> Sanitary Fadlities&1 dumpster,Site Work Pertnit for subdivisionsflarge projects <br /> COMMERCIAL Attech(2)complete sels of Buildi�Plans plus a Life Safety.Page;(1)set of Energy Fortns.R-0-W Pertnit for new eonstruc6on. <br /> Minimum ten{10)wartting days afier submittai date. Required onsite,Construction Plans,SlortnH•ater PWns w/Silt Fence installed, <br /> Sanitary Fadlities&.1 dumpsler.Site Work Fermit for all new projects.All commercial requiremenls musl meet compliance <br /> SIGN PERMIT Atlach(2)sets of Engineered Plans. <br /> "'•PROPERTY SURVEY required forall NEW consWctian. <br /> DlrecQons.• <br /> FIII out appl(ptfon completeiy. <br /> Owner 8 Cantractor sign badc of applipGon,nolarized <br /> If ove�S��O,a Notice of Commencement is requlred. (A/C upgrades over$7500) <br /> " Agent(far lhe eonlractor)or Porier ofAttortmey(forthe ovmer)would be someone wilh nolarized letter fmm axier authorizing same <br /> OVER THE COUNTER PERMI7l1NG (copy of conlract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadvrays..needs ROW <br />