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813-780-0020 City of Zephyrhills Permit_Application Fax-813-780-0021 <br /> Building Department <br /> Date Received P <br /> 2l1 1 352 606 <br /> Phone Contact for Permitting _ 8882 <br /> E E E E E E E E !E t E E <br /> Owner's Name Tiffany Valdes Owner Phone Number 904-307-0037 <br /> Owner's Address 5509 5th St.,Zephyrhills,FL 33542-3903 Owner Phone Number. <br /> Fee Simple Titleholder Name NIA Owner Phone Number <br /> i <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5509 5th St,Zephyrhills,FL 33542 LOT# 7&8 <br /> SUBDIVISION TOWN OF ZEPHYRHILLS PARCEL ID# 11-26-21-0010-06300-0070 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADDIALT = SIGN 0 0 DEMOLISH <br /> INSTALL I X REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK CRAWLSPACE REPAIRq+CLb% 'i ` t <br /> qn <br /> BUILDING SIZE 2 STORY SQ FOOTAGE 2248 HEIGHT <br /> =BUILDING $ 17,505.00 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHERCj <br /> D FLOOR ELEVATIONS FLOOD ZONE AREA YES X NO <br /> FINISHED 00 = <br /> BUILDER / �.� Q' 'COMPANY s 'J l��1 v`-f �4 V 1 ' _v PLU <br /> SIGNATURE REGISTERED Y LA FEE CURREN I Y/N I <br /> Address License# �yI,"0 O i-- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> !!!!l!lifilfffifffl!!!llliiillfffffflf!!!!!l!!!!! i/lfffilfffflfffill <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 constriction. <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.(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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />