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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name Flordeliza Mahilum Owner Phone Number 8 -782-0825 <br /> Owner's Address 27 Benson Street, Bloomfield, NJ 07003 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 4742 17th Street, Zephyrhills, FL 33542 LOT# <br /> SUBDIVISION J PARCEL ID#1 14-26-21-0010-02700-0120 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR . Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL <br /> DESCRIPTION OF WORK Addition to existing duplex and interior remodel <br /> BUILDING SIZE SQ FOOTAGE 615 HEIGHT 8' <br /> ®BUILDING $ I l5k®TION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ I© (0 0d AMP SERVICE r� PROGRESS ENERGY = W.R.E.C. <br /> ©PLUMBING $ �Q` 00 D of <br /> 0 <br /> =MECHANICAL $ r VALUATION OF MECHANICAL INSTALLATION LA <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY Ryman Construction,Inc. <br /> SIGNATURE REGISTERED Y!N FEE CURREN <br /> U —7 <br /> Address 7v`�l� � l C ����1 S , ��-Z_35�­ License# CGC1517771 <br /> ELECTRICIAN COMPANY =Eastco Electric, Inc <br /> SIGNATURE REGISTERED Y/N J FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY =JXSPIUmbing <br /> SIGNATURE REGISTERED Y/N J FEE CURREN /� Y/N <br /> Address License# CI Z/-7 T�/ <br /> 1 S <br /> MECHANICAL COMPANY Sonnys HVAC <br /> SIGNATURE REGISTERED 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 /> I€a#111 i I i I I 111f 16.1E 1� f€I I 111f-1[f 11.1111111 1111 a i 111.1 a I <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•&'l-dumpster SiteWork 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 a licationrco betel <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 />