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1 <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 I <br /> Building Depadment <br /> Date Received � phone Contact for Pertnitting — � <br /> —r��Z—T <br /> BORDER RICHARD W 8 KATHLEEN L 813-778-4060 <br /> Owners Name Owner Phone Number <br /> Ownet's Address 37527 LAUREL HAMMOCK DR Owner Phone Number <br /> ZEPHYRHILL FL33541-0254 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> 37527 LAUREL HAMMOCK DR <br /> JOBADDRESS LOT# 22 <br /> SUBDIVISION OAK RUN SUBDIVISION PHASE 1 ppRCEL ID# 34-25-21-0100-00000-0220 <br /> (OBTAINED FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED e NEW coN57R� ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> REMOVE AND REPLACE SIZE FOR SIZE VNNDOWS-4,SGD 1 <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> TI"ITTI"ITTI"ITrr1"ITrr TI'7T'TTrT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � ��� ��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� � �lnx <br /> C G v <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> �...r�...r �y� ...r�...ri��:..�.��.�.��...r...r�.... ,...�— <br /> BUILDER • C �+Ny^^NEW SOUTH VNNDOW• <br /> SIGNATURE REGISTER D Y/ N FEE CURREA Y/N <br /> Add�eSS 901 OAK FAIR BLVD,TAMPA FL 33610 License# CRC1330822 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y!N <br /> Address License# <br />' PLUMBER COMPANY <br />� SIGNATURE REGISTERED Y I N FEE CURREA 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 CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit 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 subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for ali new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br />' .d—F..F�1-.FI-.4�I..�I..F�I..FI..F�I..FI..F�I..FI..FFI..FF1.-�1-.1-.f—b.1—I..i�l..l-1.-F�I..�I..FI-1-.{—{.�Fi-1..�1-��1..1-1-.1-1— <br /> Directions: <br /> Fill out application completely <br /> Owner&ConVactor sign back of application,notarized <br />' If over$2500,a Notice of Commencement is required. (AIC upgredes over$7500) <br /> `• Agent(for the contractor)or Power of Ariomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW I <br />