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� � _ 813-780-0020 City of Zephyrhills Permit Application Fax-813780-0021 <br /> � 'Y <br /> Building Department <br /> � Date Received —Z��� � <br /> Phone Contact for Permitting <br /> Owners Name AIICe W2ygand pwner Phone Number 813-778-6021 <br /> Owners Address 37402 Castleberry Ave.Z-Hills FL pWner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOB ADDRESS 37402 Castleberry Ave.Z-Hills FL LOT# � <br /> SUBDIVISION Wedgewood PARCELID# 10-26-21-0120-00000-0670 <br /> (OBTAINED FROM PROPERTY TAX NOT1C� <br /> WORK PROPOSED xe NEW[oNsfR B ADD/ALT Q 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 a���niscree�R�om <br /> DESCRIPTION OF WORK Screen Room <br /> BUILDING SIZE �O�X�6� SQ FOOTAGE �60 HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 2400.00 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ���` ` ��n <br /> r�j �. <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER (/L�� ��I � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ���`,,.J��� <br /> �� <br /> BUILDER � (,�oM - Bahr's Aluminum -813-782-3513 <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address 6440 Fort King Rd.Zephyrhills FI,335 License# CRC057444 � <br /> ELECTRICIAN / a �COMPAN �U(J�� �L�p�� f� <br /> SIGNATURE G REGISTERED Y/ N FEE CURRE� Y/N <br /> �Address "T[/� �7�U/ ��•2�/� nse# 1-��3d��7��p <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REG�STERED Y/ N FEE CURREI. Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIItlllllllllllllllllllllllllllllllllllllllttlllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new consWdion, <br /> Minimum ten(10)working days after submittal date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faalities&1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Altach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Siit Fence installed, <br /> Sanitary FaaliGes&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 /> •"'PROPERIY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out applicaGon completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over E2500,a NoBce of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the nwner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contrect 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 />� I <br />