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813-780-0020 City of Zephyrhills;Permft Application Fax-e1348o-o021 <br /> Building Department <br /> Data Received Phone Contact for Permitting <br /> as age I11 11 <br /> Owners Name Owner Phone Number <br /> Owner's Address 'Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple Titleholder Address, <br /> JOB ADDRESS 4330 20th St"Zephyrhills,FL.33542 LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ElNEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM 0 OTHER Rooms <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL 0 <br /> DESCRIPTION OF WORK" <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> BUILDING $49 600.00 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. q,3 <br /> =PLUMBING $ Z �'16 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0. ROOFING = SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN Y!N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN_ Y l N <br /> Address License OF- <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N U�+ <br /> Address License# 3 J <br /> OTHER COMPANY Quality Roofing Inc. <br /> SIGNATURE !tS REGISTERED I YIN FEE CURREN LY/N <br /> Address 1905 N.40th Si Tampa,'FL 33605 License# CCC042846 <br /> 1118t11.t 11gi[s12,2444oiitlttllltl�atia�lltl�..tlJltil•ttitlt����tetli�_tiltla���_tll�tlassel <br /> RESIDENTIAL Attach(2)PI61 Plans;(2)sets of Building Plans;(1)set of Energy Fonns;R-O-W Permit for new construction. <br /> Minimum len(10)working days after submittal date.Required onsite,Construction Plans,Storrnwa_ter Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,-Site Work NITnlffor subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forns,.R=0-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite;Construction Plans,Stornvrater Plans w/Silt Fence installed, <br /> Sanitary Facilties'&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 forall NEW construction. <br /> Directions: _ "' <br /> Fill out application completely. <br /> Owner&Contractorsigm back of application,notarized <br /> If over$2500,a Notice of"Commencement is required.(A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PtoUSurvey/Footage) <br /> Driveways-Not over Counter f on public roadways..needs ROW <br />