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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department � f / ` <br /> Date Received Phone Contact for Permitting �i - �1 l <br /> -rre-rrrrr - - - - �rT <br /> owners Name SCHWARTZ JESSICA Owner Phone Number 813.900.7633 <br /> Owner's Address 4652 LARCH DR,ZEPHYRHILLS FL 33542-5632 Owner Phone Number <br /> AR <br /> Fee Simple Titleholder Name I I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 4652 LARCH DR,ZEPHYRHILLS FL 33542-5632 LOT# 14 <br /> SUBDIVISION WHISPERING OAKS PARCEL ID#1 15-26-21-0160-00000-0140 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM 0 OTHER REPLACE <br /> TYPE OF CONSTRUCTION ® BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK REPLACE 11 WINDOWS SIZE FOR SIZE.FL#:15780.9,15780.5,16026.1 <br /> BUILDING SIZE SQ FOOTAGE 1,182 HEIGHT <br /> BUILDING $ 12002 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.RR..E.C. <br /> =PLUMBING $ ,��j <br /> �clvlj l <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER — � O11ANY <br /> -1-0 HO PERFORMANCE ALLIAN <br /> SIGNATURE REGISTERED Y N FEECURREN I tY,#N <br /> Address 1780 102ND AVE N,STE 510,ST.PETERSBURG,FL 3371 License# I CGC1508826 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA I Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LI.LN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address License# <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 subdivisionstlarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safely 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,Stonnwater 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 /> 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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />