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813-780-0020 City of Zephyrhills Permit Application Fax-813a80-0021 <br /> BuR ing Department <br /> Datb Received Phone'Cantactfor Permitting — <br /> -rr rrrrrr -rrr - <br /> Ownees NameCHFRY MULLET Owner Phone Number <br /> Owner's Address STOwner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 5153 4TH ST ZEPHYRHILLS FL 33542 LOT# <br /> SUBDIVISION I PARCEL IDIf 11-26-21-0010-15700-0020 <br /> (OBTAINED FROM PROPERTY TAR NOTIGq <br /> WORK PROPOSED e NRIJ CONSTRB ADDIALT [ ] SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK REROOF EXISTING <br /> p GUL B <br /> BUILDING SIZE SQ FOOTAGE p00 HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION I�" <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL 5 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY = OTHER o �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO eV/ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREA Y/N <br /> Address license# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREII LYLN <br /> Address license# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURRen I Y/N <br /> Address License 8 <br /> MECHANICAL COMPANY <br /> SIGNATURE RE ,.EKED1 YIN FEECURRen Y!N <br /> Address P License# <br /> OTHER r COMPANY <br /> SIGNATURE -cc ERED I Y/N FEE CURREn LXLN <br /> Address 0736 HI ND LN DC license# <br /> 111111tllili111111i111111111111111 / 111111 / I1111111A III 1111111111111 <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)woridng days after submittal date_ Required onsite,Construction Plans,Stomnvater Plans tvl SlIt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required ensile,Construction Plans,Stomnrater Plans vd SM 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 out 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 ofAttomey(for the orier)would be someone with notarized letter from comer authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> RemOfS if shingles Sevrers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drivoways-Not over Counter if on public madways..needs ROW <br />