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a�saeo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Bwlding Department <br /> Date Received � "� phone Contact for Permittin �/ �� `' � 7S <br /> 1 1 1 1 1 1 1 1 1 1 I i 1 - <br /> Owner's Name Whalen Ste hen Owner Phone Number 813-395-8337 <br /> owner's,4ddress 22 Ea le Rock V . A t 1 B Bu dd Lak N.J Owner Phone Number <br /> Fee Simple Tkleholder Name � � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 39027 6th Ave. Ze h rhills FL. 33542 �or� Tract 1 <br /> SUBDIVISION Yin lin s Subdiviso PARCELID# 12-26-21-002A-00100-0010 <br /> (OBTAINED FROM PHOPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN O � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR U COMM � OTHER � --� <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK Ins tall 10 X 12 Shed <br /> BUILDING SIZE 10 X 12 � SQ FOOTAGE � 20 HEIGHT 11 � 4�� ��� v/ <br /> �BUILDING � 2 ,432.00 VALUA710N OF TOTAL CONSTRUCTION `� I I <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W R E C <br /> OPLUMBING $ "�aK�! " <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1( � <br /> a �� � <br /> �.JL � <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERE� Y/ N FEE CURREN Y/ N � <br /> Address License # <br /> ,` <br /> � `t <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGI5fERED Y/ N FEE CURREN Y I N <br /> Address License # <br /> PLUMBER � COMPANY <br /> SIGNATURE RECisrEREO Y/ N Fee cuRR�n Y 1 N <br /> A[IAfPSC Lioence ll <br /> MECHANICAL COMPANY <br /> SIGNATURE REGI5TERED Y/ N FEE CURREN Y/ N <br /> aaaress �L <br /> Llcense # <br /> OTHER / OMPANY Backyard Storage Solutions LLC/Gary est <br /> SIGNATURE REGISfERE� Y/ N FEE CURREN Y/ N <br /> Address 2450 Smith Rd. Kissimmee, FL. 34744 License # CRC 1329856 <br /> 111111111111111111111111111111 1111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans, (2) sets of Bwlding Plans, (1) set of Energy Forms, R-0-W Permd for new construction, <br /> Minimum ten (10) working days after submittal date Reqwred onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> SanRary Facditios R 1 dum�xter SRe Wnrk Pormit fnr cuFviivisinnsAarpc prn�oMc <br /> COMMERCIAL Attach (3) complete sets oF Building Plans plus a Lrfe Safety Page (1) set of Energy Forms R-0-W Permd for new construction <br /> Minimum ten (10) working days after submittal date Reqwred onsrte, Construction Plans, Stormwater Plans w/ Slt Fence installed, <br /> Sanrtary Facilities 8 7 dumpster Site Work Permrt for all new proJects All commercial reqwrements must meet comphance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans <br /> "'"PROPERTY SURVEY reqwred for all NEW construction <br /> Directions: <br /> Fill out apphcahon completely <br /> Owner & Contractor sign back of application notanzed <br /> If over $2500, a Notice of Commencement is required. {AIC upgrades over 57500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) swuld be someone with notarized letter from owner authonzing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs rf shingles Sewers Service Upgrades A/C Fences (PIoVSurvey/Footage) <br /> Driveways-Not over Gounter if on public roadways needs ROW <br />