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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received OCT 2 9 2018 1 Phone Contact for Permittin 813 363 2891 <br /> Owner's Name Lermar Homes,LLC Owner Phone Number <br /> 813,574,5700 <br /> Owner's Address 1 4600 W.Cypress St;Ste.200,Tampa,FL 33607 Owner Phone Number <br /> Fee Simple Titleholder Name I N/A Owner Phone Number <br /> Fee Simple Titleholder Address I N/A <br /> JOB ADDRESS 12979 Moulden Hollow Drive LOT# 10550 <br /> SUBDIVISION <br /> Hidden River Phase One PARCEL ID# 25-26-21-0100-00000-0550 <br /> B F <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED III NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> INSTALL R REPAIR <br /> PROPOSED USE u v u SFR = COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK Single Family Residence Pool/Screen Enclosure/Fence <br /> BUILDING SIZE FU/R SF 2376 SCI FOOTAGE1936 HEIGHT 1 Story <br /> . . . . . . . . . . . . . . . . . . . . . . . <br /> r-71 <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL 1$ AMP SERVICE FX_1 PROGRESS ENERGY W.R.E.C. <br /> ZiL PLUMBING 1$ <br /> W1MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA CIYES Do <br /> I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I <br /> BUILDER COMPANY PANY I Lermar Homes,LLC <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> 4600 W.CyWss St.Ste.22,!ampa,FL 33607 CGC1518166 <br /> License# I <br /> ELECTRICIAN COMPANY ELmo�nson Electric, Inc. <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 1034 Skipp&oad,T,,Wpa, FL 33613 License# I EC 13005408 <br /> PLUMBER COMPANY Bayonet Plumbing, Heating &AC, Inc <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address P.O. Box 5t Bayou 9(,fZ34rft74-5308 License# I CFC042998 <br /> MECHANICALCOMPANY Bayonet Plumbing, Heating &AC, Inc <br /> I <br /> SIGNATURE r 11 REGISTERED Y/ N J FEE CURREN LILN J <br /> Address P.O. Box 530 aayonetW34674-5308 License# I CAC058062 <br /> V OTHER c Sterling COMPANY Quality Roofing, Inc <br /> SIGNATURE F REGISTERED Y/ N FEE CURREN Y/N <br /> Address 14211 Shoal Lin#vd, Spring Hill, FL 34607 License# 1 CCC057991 <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 wl Silt Fence installed, <br /> Sanitary Facilities&I 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 /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 646464 LL <br /> 64— <br /> Directions: <br /> Fillout 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 />