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813-780-0020 City of Zephyrhills Permit Application Fax-813-78M021 <br /> i Building Department <br /> Date Received Phone Contact for Permitting <br /> 911111IRRE191 iii`a <br /> Owner's Name BEELERMICHAEL Owner Phone Number 765-427-0099 <br /> Owner's Address 4646 LARCH DR Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 4646 LARCH DR ZEPHRYHILLS,FL 33542 LOT# <br /> SUBDIVISION PARCEL ID#1 15-26-21-0160-00000-0150 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONM e ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER I REPLACEMENT <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK 40GAL ELECTRIC WATER HEATER REPLACEMENT <br /> BUILDING SIZE SCI FOOTAGE HEIGHT <br /> -rccc-s->cc cr-s-rc-c-cz rrs r'frscarrcri- s"c-zz-czg-c'a-rr"c r-+ <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $1478 `; /lTd/=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION -�' 4 <br /> =GAS = ROOFING Q SPECIALTY = OTHER f c <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN Y/N <br /> Address Liiceepnse# (� /A <br /> PLUMBER COMPANY �/I 1 ► L�II <br /> SIGNATURE REGISTERED YIN FEE CURREN Y/N <br /> Address license# <br /> MECHANICAL COMPANY C �� 1 I <br /> SIGNATURE REGISTERED Y/N I FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> !!!{!!!II{!t!{!!i!i!!i{ {tilii"tit!!{ii!!'■i!!"{tilItlt!"!!i!!t!H{{ {!liii <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)working days after submittal date.Required onsite,Construction Plans,Storrnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large 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,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ali 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$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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />