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813-780-00 0 City of Zephyrhills Permit Application Fax�13-780-0021 <br /> ' , t Building Department <br /> � <br /> Date Received I 813 783 1688 <br /> Phone ContactforPermittin <br /> owners Name I LOPEZ MORRIS C/O LT INVEST Owner Phone Number <br /> Owner's Address I 13701 N NEBRASKA AV STE 102 TAMPA Owner Phone Number <br /> Fee Simpte Titleholder Name Owner Phone Number <br /> Fee Simple Titlehol er Address <br /> �os aooRess 38402 4TH AVE �or a � <br /> SUe�IviSION NA PARCEL ID# 11/26/21/0010/18500/0011 <br /> (OBTAINED FROM PROPERTY TA7(NOTIC� <br /> WORK PROPOSED e NEW coNSTR e ADD/ALT Q SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTR CT10N Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF oRK COMPLETE DEMOLITION <br /> BUILDING SIZE SQ FOOTAGE 2800 HEIGHT 2 STORY <br /> QBUILDIN $9S7O.00 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRI AL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. � <br /> QPLUMBIN� $ � � �� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � / <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINIS FLOOR I EVATIONS ROOD ZONE AREA QYES NO <br /> � , i <br /> � CROSS ENVIRONMENTAL SERVICES,INC <br /> BUILDER OMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addres P•O.BOX 1299,C YSTAL SPRINGS,FL License# CGC062981 , <br /> TRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRFh Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> IIIIIilllIlltllllllllllllllllllllllllllllllllllllillllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)sel of Energy Fortns;R-0-W Pertnit for new construction, <br /> inimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> anitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL �ttach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-0-W Permit for new construction. <br /> II Minimum ten(10)working days after submiltal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> anitary Facilities 8 1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance <br />� SIGN PERMIT ttach(2)sets of Engineered Plans. <br />� "PROPERTY SURVEY required for all NEW construction. <br /> I <br /> Directions:• <br /> Fill out applica on complelely <br /> Owner 8 Contr ctor sign back of application,notarized <br /> If over 32500, Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the ontractorj or Power of Attorney(for lhe owner)would be someone with notarized letler from owner authorizing same <br /> OVER THE COU R PERMIITING (Front of Applicalion Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Foolage) , <br /> Driveways-No over Counter if on public roadways..needs ROW <br /> I ' <br /> i <br />