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s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building DepaRment <br /> Date Received 12-06-12 Phone Contact for Pertnitti�_� _352-796-2229 <br /> Tfl-f-fT-IZ- <br /> Owners Name JBtI KI11g II1C. Owner Phone Number $63-683-2872 <br /> Qwners Address 35 Sockanosset Crossroad, fZ�,�292� pwner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 5610 Gall Blvd.,Zephyrhills, FL 33542-3413 LOT# � <br /> SUBDIVISION PARCEL ID# �1-26-21-0010-05700-0255 <br /> �OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER accN�.�o�i <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK Replace existing roof top 5 ton a/c with new 5 ton Carrier roof top. <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �� <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ G / �� �9 <br /> ��" � <br /> OMECHANICAL $6500.00 VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES 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 Butler Heating&A/C Inc. (Rodger Butler) <br /> SIGNATURE o/ REGISTERED Y/ N FEE CURREN Y/N <br /> Address 3�5J—•�/��- � 17f 3�01 License# (,./t�:.l�T <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RES�DENTIAL Attach(2)Plot Plans;(2)seis of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsVuction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities R 1 dumpster;Site Work Permit for subdivisions/large projeds <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(i)set of Energy Fortns.R-O-W Pertnit for new construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 construdion. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A!C upgredes over 57500) <br /> " Agent(for the contraclor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />