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� e <br /> 81"SU020 City of Zephyrhilis Permit Application Fax-SM780-M21 <br /> BulidIng Department <br /> Date Received Phone Contact for Parmittln / v <br /> Trrr <br /> owners Name ARUM TERRY L&JEANNE C Owner Phone Number 701-720-3492 <br /> Owners Address 5907 GREENBERRY CT ZFPHYRHILLS PL 3354 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fes Simple TitlshoWsr Address <br /> JOB ADDRESS 5907 GREENBERRY COURT LOT tl S 1 <br /> SUBDMSION WEDGEWOOD MANOR PARCEL ID# 10-26-21-0120-00000-0510 <br /> (OBTAINED FROM PROPERTY TA[NOTICE) <br /> WORK PROPOSED e NEW Cofm e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = —� <br /> DESCRIPTION OF WORK REM/REP SAME SIZE WINDOWS 8,ENTRY DOOR 1 <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ 11,958 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL s AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $__ a) /j Vv <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 2N I(j 5e ICU, <br /> =GAS = ROOFING 0 SPECIALTY = OTHER /nVV(� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO tf / <br /> NEW SOUTH WINDOW <br /> BUILDER OMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA I Y I N <br /> Address 10741 C OSSROADS COMMERCE BLVD,TAMPK 33610 Licensed 1330822 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN FEEeuRRen Y f N <br /> Address I License F <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURIM I Y/N <br /> Address License* <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEECURREn LILN <br /> Address License f <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN I FEE CURREh <br /> Address License O <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new censtruGdOn. <br /> Wln(mum ten(10)working days after submittal date. Required ondte,Construction Plans,Stomuwater Plans w/S01 Fence Installed. <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivialonsflerge projects <br /> COMMERCIAL Attach(2)complete sets of Sullding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permtt for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Ce nstniction Plans,Startmaeter Plans w1 Slit 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 rKulred for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign beck of application.notarized <br /> If over$2600,a Notice of Commencement is required. (A/C upgmdss over$70001 <br /> Agent(for the contractor)or Power of Attamey(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 />