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813-7804=0 City of Zephyrhills Permit Application Fax-613-78MD21 <br /> Building Department <br /> Date Received Phorie Contact for Permitting� — <br /> .•a.ra..rr-rr-r <br /> Owner's Name77 Lr [ �7q Owner Phone Number <br /> Owners Address ( �t C �l c' 1 l JV Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 7 7Zr C.!�L'(P')fo-t�i v �5a37 <br /> JOB ADDRESS -7 S r`v LOT C <br /> SUBOMSION PARCEL ID# O�- (/ 'Z �— 0 U Z'Q' v QC""— <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �OR`.f/rC !.• � ri c'r t --dd r. I(Ale <br /> BUILDING SIZE t'I`:Z SQ FOOTAGE ?Tl.Z HEIGHT <br /> =BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION f ! / <br /> =GAS Q ROOFING Q SPECIALTY Q OTHER �I GGG <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY r Venture Construction Company <br /> SIGNATURE F REGISTERED N FEE CURREn I Y/N <br /> Address 105 N.Falkenburg Rd,Suite A;Tampa,FL 33619 License# CGCO09286 <br /> ELECTRic1aN I �> COMPANY Joe McDonald Electric <br /> SIGNATURE r REGISTERED Y N FEE CURREn Y/N <br /> Address 2310 Circuit Way;Brooksville,FL 34604 License#I EC0002723 <br /> PLUMBER - COMPANY EJ&S Plumbin <br /> SIGNATURE REGISTERED N FEE CllRREh Y/N <br /> Address 4021 S.50th St;Tampa,FL 33619 Ucense#[7CFC1429243 <br /> MECHANICAL COMPANY United Sheet Metal <br /> SIGNATURE REGISTERED [YIN I FEE Cu[RTREI, I Y/N <br /> Address 215 Contractors Way;Lakeland,FL 33801 License#I CAC1819393 <br /> OTHERE�e-- <br /> A01k I <br /> COMPANY Dempsey Commercial Roofing <br /> SIGNATURE REGISTERED I JYJN FEE CURREt. I Y I N <br /> Address 1 3615 Century Blvd-Unit#5'Lakeland FL 33811 Ucensa#I CCCO37007 <br /> 110111It11 ➢ 11t1111111113111'➢ 1111IIG1111 ➢ ➢ 1 ➢ 1 ➢ t1 ➢ 11 ➢ ➢ 111111 ➢ 11 ➢ 11111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fors;R-O-W Permit for new construction, <br /> Minimum ten 00)working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionallarge 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 onsite,Construction Plans,Stormwater Plans w/Silt 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 /> Dtrecdons:, <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$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with rwtarbmd letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Piot/SurvaylFootage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />