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61 813-78o-oo20 City of Zephyrhills Permit Application Fax-813-78aoa21 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Ownees Name Owner Phone Number — <br /> Owner's Address PAT Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS ZEPHYRHILLS FL 33542 LOT# <br /> SUBDIVISION PARCEL IDd 03-26-21-0160-00000-0300 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CoNsTR8 ADDIALT [ SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM LJ OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK r REROOF EXISTING ROOF WITH NEW GAF SHINGLES <br /> BUILDING SIZE 7771 SR FOOTAGE 1675 HEIGHT <br /> =BUILDING $g 100.00 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING is <br /> =MECHANICAL is VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 'car'-v-:-".-:-s - - ---- - - <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREA I Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE cuRRe, LILN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURIWA LYIN <br /> Address I License if <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURRE% I Y/N <br /> Address License& <br /> OTHER COMPANY FINQ LW <br /> SIGNATURE REGISTERED YIN FEE CURIUN I Y I N <br /> Address 20736 HIGHPOND LN DC Licenser/ <br /> IIIIIII111111111111l11lIll1111111D111111111111.111l1.11111i1111111111 <br /> RESIDENTIAL Attach(2)Plot Plans:(2)sets of Building Plans:(1)set of Energy Forms R-O-W Permit for new construction, <br /> Minimum ten(10)wortdng days after submittal date_Required onsite,Constuution Plans,Stomuvater Plans col Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit forsubdivisions/targe projects <br /> COMMERCIAL Attach(2),complete sets of Building Plans plus a Life Safety Page,(1)set of Energy Forms.R-O-W Permit fornew construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Storrmrater Plans wl Sill Fence installed, <br /> Sanitary Facilities&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 /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill Gut application completely_ <br /> Owner&Contractor sign back of application,notarized <br /> .If over$2500,a Notice of Commencement is required_ (AIC upgrades Over$7600) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVERTHE COUNTER PERMfM%fG (copy of contract required) <br /> Remofs if shingles Sewers Service Upgrades A/C Fences(Piol/Survey/Footage) <br /> Driveways-Not over Counter if on public madr ays•Reeds ROW <br />