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813-78M020 City ofZephyrhills Permit Application Fax-813-78o-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 813- ' 713- 1313 i <br /> -rrrr i rr' -rrrr <br /> Owners Name ADELLE AMISON Owner Phone Number 813-355-7967 <br /> Owners Address 39525 9TH AVE Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS9TH AVE LOT# 23 <br /> SUBDIVISION UNSET ESTATE 'PARCEL ID# 12-26-21-0300-00000-0230 <br /> WORK PROPOSED e W CONLSTR e R DD//T SIGN(OBTAINED FROM rRoaERlrrax�Noncq DEMOLISH <br /> INSTAL <br /> PAJR <br /> PROPOSED USE = SFR = COMM, = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK I REROOF EXISTING SHINGLE ROOF <br /> BUILDING SIZE SQ FOOTAGE® HEIGHT <br /> BUILDING $6 300.00 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ - 52 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> t .— <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> i <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREA LYLN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREA LYLN <br /> Address 77771 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERm I Y/N FEEcURREn I Y/N <br /> Address A License# <br /> OTHER COMPANY COOFING LLC <br /> SIGNATURE REGISTERED IXIN FEE CURREN L2KLN <br /> Address License# CCC1328205 <br /> 1111111111011111lllllldllllllll111.11111111111111DIB1111111111111111 <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)worldng days after submittal date. Required onsite,Construction Plans,Stornvrater Plans col 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 /> . . . , , . � . . y� . <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 Prover 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(PloUSurvey/Footage) <br /> Drhroways-Not over Counter if on public rnadways..needs ROW <br />