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� j <br /> S 13-780-0020 � <br /> .� _ .''�� City of Zephyrhills Permit Applicatio Fax-813-780-0021 <br /> Building Department <br /> Date Received ' � <br /> � � Phone CoMact for Permitting 3l" 6 r ,3 ', <br /> Owner'sName KENNETH R DITTMAN ownerPhoneNumber O!3 D' I, <br /> Owner's Address 5740 DOGWOOD ST ZEPHYRHILLS FL 33542-4463 Owner Phone Number ' <br /> Fee Simple Tkleholder Name Owner Phone Number � <br /> Fee Simple Tkleholder Address I <br /> JOBADDRESS 5740 DOGWOOD ST ZEPHYRHILLS FL 33542-4463 LOT# � . <br /> SUBDIVISION COLONY HEIGHTS pARCEL IDiF '12-26-21-0260-02000-1151 <br /> {OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSfR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK REPLACEMENT OF FRENCH DOORS SIZE FOR SIZE NON IMPACT <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> BUILDING $ 54'12.00 VALUATION OF TOTAL CANSTRUCTION i <br /> QELECIRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. , <br /> ' OPLUMBING $ � 1�(�/�� / � I <br /> « C � �--�D_ �, j� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��J" I� <br /> �/�� � <br /> �GAS Q ROOFlNG Q SPECIALTY Q OTHER (/ � <br /> � I <br /> FINISHED FLOOR ELEVATIONS ROOD ZONE AREA QYES NO j <br /> i <br /> 7 V <br /> BUILDER �J// � COMPANY M GAN EXfERIORS INC <br /> SIGNAIURE �/W REGISTERED Y N FEECURRE� N <br /> Address 15915 N FLORIDA AVE LlffZ FL 33549 License# CRC057210 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YI N FEECURREA Y!N <br /> Address License# <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I <br /> Address License# <br /> I <br /> MECHANICAL COPIIPANY � <br /> SIGNATURE REGISTERED Y/ N FEECURRE� Y/N <br />. Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISiERED Y/ N FEECURREA Y!N <br /> Address ' License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;{2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Con'struction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Si[e Work Perm'�for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a L�Fe Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 alI NEW construction. <br /> Directions• • • • • • • • • • ' I <br /> Fill out application completely <br /> Owner&Gontrectorsign backofapplication,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$750D) , <br /> " Agent(forthe contractor)or Power of Attomey(for the owner)�,wuld be someone with notarized letter from owner authoriang same <br /> OVER THE COUNTER PERMRTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PIoUSurvey/Footage) , <br /> Driveways-Not over Counter if on public road�ays..needs ROW � <br />