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�,. Submtt.b mEmail.,�- ���."�.Print Form�' <br /> s�s-�ao-oozo City of Zephyrhills Permit Application y' ��"` <br /> Building Department <br /> � Date Received Phone Contact for Pertnitting � 532. - 010 � <br /> owner's Name Elizabeth Daffron Owner Phone Num6er �813)369-1285 � <br /> Owner'sAddress �9 P(�V/�V 7P �1 ��S OwnerPhoneNumber � <br /> V <br /> Fee Simple TiUeholder Name Owner Phone Number � <br /> V <br /> Fee Simple Titleholder Address 1 <br /> � <br /> JOB ADDRESS 39418 Kennedy Ave Zephyrhills,FL 33542 LOT# 7� r , <br /> S <br /> susoiwsioN LINCOLN HEIGHTS pARCELIDp 12-26-Z�-OZSO-O0000-0470 � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) � <br /> WORK PROPOSED n NEW CONSTR � ADD/ALT Q SIGN Q MOVE Q DEMOLISH 1��. <br /> INSTALL REPAIR ^j <br /> PROPOSED USE r� SFR Q COMM � OTHER �' <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME Q STEEL � OTHER <br /> DESCRIPTION OF WORK REMOVE&REPLACE 6 WINDOWS&1 DOOR SIZE FOR SIZE <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> � BUILDING $ cJ,�OO.00 VALUATION OF TOTAL CONSTRUCTION <br /> Q ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> Q PLUMBING $ /�].��� <br /> ���,� <br /> , <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO <br /> i ppp r /��(/l <br /> BUILDER � �� W COMPANY 1 O Q <br /> SIGNATURE � REGISTEREO Y/ N FEE CURRENT Y/N <br /> Address License# I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED Y/N FEECURRENT Y!N <br /> Address License# I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRENT Y I N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permii for new construction, <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new consWction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster.Site Work Permit for all new projects.All commercial requirements mus[meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"'PROPERTY SURVEY required for all NEW construction. <br /> Oirections: <br /> Fili out application completely. � <br /> Owner 8 Contractor sign back of applicaBon,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over E5000) � <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone wilh notarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on puhlic roadways..needs ROW <br />� <br />