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l <br /> � s�sasaoozo City of Zephyrhills Permit Application Fax-�a�saso-oozi I <br /> : , Building Department , <br /> Date Received Phone Contactfor Permitting 904 g00 -- 17�1 I <br /> DebiT Cassid � <br /> Owner's Name / }� Owner Phone Number 904-800-1702 <br /> Owners Address 5051 6th St,Ze h rhills FL 33542 Owner Phone Number I <br /> I <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 5051 6th St,Ze h rhills FL 33542 - �oT# 11-12 <br /> SUBDIVISION <br /> PARCELIQI� 11-26-21-0010-18600-0110 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br />' oescwanoN oF woRK Remove and re lace 25 S uarse/As halt Shin les <br /> BUILDING SIZE SQ FOOTAGE 1�g72 HEIGHT � <br /> �BUILDING $ $�900 VALUATION OFTOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING � SPECIALTY Q OTHER <br /> ' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> . BUILDER COMPANY SU erior Contractors LLC <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 9 Philips Hwy Suite 14 Ja�c FL 32256 License# CCC1327263 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br />', Address License# <br /> MECFIANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y!N <br /> Address License# <br /> OTHER COMPANY <br />' SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N <br /> Add ress License# <br /> I11111111111111111111111111111111111111111l111111111111111111111111 <br /> RESIDENTiAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fartns;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 8 1 dumpster,Site Work Pertnit for subdivisions/large 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 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 Permit for all new projects.All commercial requirements must meet campliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERI'Y SURVEY required for all NEW construdion. <br /> Directions:' <br /> Fill out application completely <br /> Owner&ConVactor sign back of appliration,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIT'fING (copy of contract 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 />