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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date.Received Phone Contact for Permittin <br /> Owners Name Leyva, Gildardo Owner Phone Number 813-600-0962 <br /> Owners Address 5029 9th St,Zephryhills, FL 33542 Owner Phone Number <br /> Fee Simple Titleholder Name I LeYma. Gildardo Owner Phone Number <br /> Fee Simple Titleholder Address 1 50299th St Z h hills FL 33542 <br /> JOB ADDRESS 5029 9th St Ze h hills FL 33542 LOT# <br /> SUBDIVISION PARCELID# 11-26-21-0010-21100-0030 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT ® SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ® SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK ® FRAME = STEEL = <br /> DESCRIPTION OF WORK Reroof shingles <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ p VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ [' AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION �/� 9 <br /> =GAS ® ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN 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 Y/N <br /> Address License# <br /> OTHER COMPANY Summitwood Works LLC <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address I 1501lighld Manor 200 Tama L 33619 License# CCC1331248 <br /> IIIIIIIIIIIIIIIIIIIIIIIIiI 1111111111111111111111Illllllllllltlllll <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />