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813-780-00 0 , City of Zephyrhills Permit Application Fax-813-780-0021 ii <br /> � Building Department I <br /> Date Received I • 813 783 1688 <br /> Phone Contact for Permitting <br /> Owners Name I STARNES ROBERT owner Phone Number <br /> Owner's Address I 5250 3RD STREET ZHILLS Owner Phone Number <br /> Fee Simple Titlehol I er Name Owner Phone Number <br /> Fee Simple Titlehol er Address <br /> JOB ADDRESS 5133 1 ST STREET �or a � <br /> susoivisioN NA PARCEL ID# 10/26/21/0040/00100/0020 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW coNSTR e ADD/ALT 0 SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTR�ICTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF YVIORK COMPLETE DEMOLITION <br /> BUILDING SIZE S�FOOTAGE �5OO HEIGHT � <br /> QBUILDIN $5754.00 VALUATION OF TOTAL CONSTRUCTION ' <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBI�G $ •G,� <br /> QMECHA ICAL $ VALUATION OF MECHANICAL INSTALLATION I�� -" � <br /> � l <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINI ED FL00 LEVATIONS FLOOD ZONE AREA QYES NO <br /> suI�DER COMPANY CROSS ENVIRONMENTAL SERVICES,INC <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address P•O.BOX 12 9, STAL SPRINGS,FL License# CGC062981 <br /> E CTRI AN COMPANY <br /> SI RE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N �cuRaEn Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRFI� Y/N <br /> Address License# <br /> IIIlilllllllllllllllllllllllllllllllllllllllllllllllllllltlllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Pertnit for new construclion, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL ; Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-0-W Permit for new conslruction. <br /> Minimum ten(10)working days aker submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence inslalled, <br /> Sanitary Facilities&1 dumpsler Site Work Pertnit for all new projecls.All cammercial 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 appli alion completely <br /> Owner 6 Co trador sign back of application,notarized <br /> If over b2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agenl(for t e contractor)or Power of Attomey(for the owner)would be someone with nolarized letter from owner authorizing same <br /> OVER THE COU TER PERMIITING (Front of Application Only) <br /> Reroofs if shingl s Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways- ot over Counter if on public roadways..needs ROW <br />