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s�s-�so-oozo � City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Cf�l f� �J�ati/�� M�.` _t�J�. <br /> Date Received 3�28��7 Phone Contact for Permitting �3 �� - Zv �� <br /> -�r��-r <br /> owner's Name CARRIE PIPES Owner Phone Number <br /> owner's Address 5740 16TH ST Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5740 16TH ST LOT# � <br /> SUBDIVISION PARCEL ID# 11-26-21-0010-08100-0210 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NSTALLSTR e R�EPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL 0 <br /> DESCRIPTION OF WORK REMOVE AND REPLACE 5 WINDOWS SIZE FOR SIZE <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ '�� J � VALUATION OF TOTAL CONSTRUCTION <br /> L <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ���J <br /> � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � � <br /> FINISH�ED FLOOR ELEVATION� ROOFING 0 FLOOD ZONE A�REA OTHE�YES NO �' <br /> g �'�' <br /> �� <br /> BUILDER ;��COMPANY WINDOW WORLD OF TAMPA <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 59 0 BRECKENRIDGE PKWY �icense# SCC131151663 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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 FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL 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 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 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 PERMIT Attach(2)sets of Engineered Plans. <br /> "'*PROPERTY SURVEY required for all NEW construction. <br /> . <br /> Directions: ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$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 /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />� _ <br />