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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department tt <br /> Date Received 7, Phone Contact for Permittin . —74 V/ <br /> Owner's Name SHAN HUBSMIT_H Owner Phone Number 813-382-6283 <br /> Owners Address 3067 MOULDEN HOLLOW DR Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3067 MOULDEN HOLLOW DR LOT# <br /> SUBDIVISION HIDDEN RIVER PARCEL ID#1 24-26-21-0100-00000-0440 <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 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK SCREEN CAGE(NO POOL) WITH NEW CONCRETE <br /> BUILDING SIZE 18'X18' SQ FOOTAGE 324 HEIGHT 1�� <br /> =BUILDING $7860.00 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER f/ <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA. . . . . . . . . . . . . . ..&. . . . . . . . . . . . .. . . . . . . . . . . . . . .=YES NO �D'b <br /> . . . . . .. <br /> BUILDER I COMPANY DESIGN ALUMINUM EXCHANGE, INC. <br /> SIGNATURE REGISTERED Y/ N FEE CURREK <br /> Address P.O. 340383 TAMPA,33694 License# I SCCO56671 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREt Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY DESIGN ALUMINUM EXCHANGE, INC. <br /> SIGNATURE REGISTERED Y/ N FEE CURREK <br /> Address P.O 340383 TAMPA 33694 License# SCC056671 <br /> ttttttttt ttttttttttttttttttttttttttttttttttttttttttttttttttttttt <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 subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Farms.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 /> 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 />