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i 813-780-0020 City of Zephyrhills Permit Application V 10- /s(I 3 Fax-813-780-0021 <br /> Building Department 7-14v y 77 <br /> a <br /> Date Received Phone Contact for Permitting ( 813 689 —2082 <br /> Owner's Name MELI5SA SHIELDS Owner Phone Number 813-500-7068 <br /> Owner's Address 5027 18TH STREET Owner Phone Number <br /> Fee Simple Titleholder Name L Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5Q27 18TH' STREET, ZE�HYRHILLS, FL 33542 <br /> LOT#- <br /> SUBDIVISION PARCELID# 11-26-21-0010-21400-0090 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR® _j1ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME = STEEL <br /> DESCRIPTION OF WORK EQUAL CHANGEOUT @ TON HEAT PUMP & air handler <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> ®MECHANICAL $ 5,241.00 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER <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 FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY =Gulfoast Air Systems, Inc. <br /> SIGNATUR '��2_� REGISTERED Y/N FEE CURREN Y/N <br /> Address PO Box 1070, Valrico, FL 3 595-1070 License# CACO36826 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> 112IN.1111Y11111i 111oi1E1E11i1111ii Y111Ei lti 16l1f1Ei1111 1E1111i11ii111i1FisJ1111E111€ 11f € flIE1111i <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,Stormwater 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,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 /> 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 />