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a�saao-oozo City of Zephyrhills Permit Application F�-a�saao-0o2� i <br /> Building Department ��5� � <br /> l � <br /> � Date Received .i � s1�� a"�� _���� <br /> Phone Contact for Permitting 5 <br /> Owners Name Francis W. Panzer Owner Phone Number 727-3646816 <br /> i <br /> owoers adar�s 38716 2nd Ave.Ze h rhills FL 33542 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> I � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 38505 6th Ave. �oT a 10 11&12 <br /> SUBDIVISION CI of Ze h h1115 PARCEL ID1� 11-26-21-0010-13500-0100 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) � <br /> WORK PROPOSED e NEW CON57R e ADD/ALT Q SIGN Q Q DEMOLISH ; <br /> INSTALL REPAIR � <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK Helical Pier Installatiori&Pol LEVEL S stem <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ 10,900.00 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. ��/J1� <br /> QPLUMBING $ p /\�� <br /> �����'���1 <br /> � �Y� {'1 � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r /f <br /> � � � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � �� �I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO , '����' '' � <br /> ' �• �/ '��I <br /> . . . . .� . 1y�����`' <br /> BUILDER ' �(3 ` COMPANY LRE Ground Services Inc. �f(� /�"J� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N I V (/ <br /> 9� I <br />' Address PO Box 10263 Brooksville FL 34603 License# CBC1256398 � � <br /> i <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# � <br /> PLUMBER COMPANY i <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY , <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N j <br /> Address License# I <br /> I <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIt1111111111111t111I1111tItlllllllllllllllllt11111 � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new conshuction, <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 Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new consVuc6on. � <br /> Minimum ten(10)working days aker submittal date. Required onsite,ConsUudion Plans,Stortnwater Plans wf Silt Fence installed, I <br /> Sanitary FaciliGes 8 1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance I <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consWction. <br /> Directions: , <br /> Fill out application completely. <br /> Owner&ConVactor sign back of applicaGon,notarized <br /> If over$2500,a Notice of Commencement is required. (A1C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authoriang same <br /> OVER THE COUNTER PERMITTING (copy of contrad required) <br /> Reroofs N shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW , <br />