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s� -�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , ' Building Department <br /> Date Received Phone Contact for Permitting 813 783 __ �688 <br /> Owner's Na�e Carrington Mort. Svc. LLC Owner Phone Number <br /> Owner's Address 1600 S Douglas Rd Ste. 200-A, Anaheim, CA Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple 7itleholder Address <br /> JOB ADDR SS 6218 9th Street LOT# � <br /> suB�ivisi N Tyson PARCEL ID# 02/26/21/0160/00200/0010 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PRO OSED e NEW CONSTR B ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSE USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK COMPLETE DEMOLITION <br /> BUILDING 51ZE SQ FOOTAGE �,�`"I Z ' HEIGHT <br /> �B ILDING $ VALUATION OF TOTAL CONSTRUCTION <br />� QE ECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> OP UMBING $ <br /> Q ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ` � � I ��� � <br /> � <br /> Q IAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED LOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> -�:--:--r� " <br /> CROSS ENVIRONMENTAL SERVICES, INC <br /> BUILDER COMPANY <br /> SIGNATUR REGISTERED Y/ N FEE CURREN Y/N <br /> Addre s P.O. O 1299, CRYSTAL SPRINGS, FL �icense# CGC062981 - <br /> ELECTRIC AN COMPANY <br /> SIGNATUR REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY � <br /> SIGNATU�E REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANI�AL COMPANY <br /> SIGNATU E REGISTERED Y/ N FEE CURREN Y/N <br /> Addr ss License# <br /> OTHER COMPANY <br /> SIGNATU E REGISTERED Y/ N FEE CURREN Y/N <br /> Addr ss ricense# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDEN IAL 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 Wor1c Permit for subdivisions/large projects <br /> COMMER IAL Attach(3)complete sets of Building Plans pl�s 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&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PER IT Attach(2)sets of Engineered Plans. <br /> "*"PROPERTY SURVEY required for all NEW construction. <br /> �� • - . , . . : 5 : : : : : : C � : � ➢ � : � : CCL : � : � O � C � : COCCE � : L'—:—:—' . . . . <br /> Direction • • • • • • • <br /> Fill o�t application completely <br /> Own�r&Contractor sign back of application,notarized <br /> If ov1r$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 /> I <br /> OVER THE COUNTER PERMITTING (Front of Application Only) ', <br /> Reroofs if Shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) I <br /> Driv Iways-Not over Counter if on public roadways..needs ROW I <br />