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1 <br /> 813-780-0020 City of Zephyrhills Permit Application Fa"13-780-0021 <br /> Building Department <br /> Date Received 8/2/2019 Phone Contact for Permitting 2 63 5018 <br /> Owner's Name HINEMAN WILLIAM&MARGARET Owner Phone Number 813-395-8742 <br /> Owner's Address 37355 DERBYSHIRE DRIVE ZEPHYRHILLS FL 33542 Owner Phone Number <br /> Fee Simple Titleholder Name I N/A Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 37355 DERBYSHIRE DRIVE LOT# 1 90 <br /> SUBDIVISION WEDGEWOOD M PARCEL ID# 0. 6- -0 -000 0-0900 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT © SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ® SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK Garage Door Replacement-Same Size 9x7 FL#10737.5 <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ 1,199.00 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 Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 5/f <br /> BUILDER COMPANY Discount Gara a Doors Inc. <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/N <br /> Addre 3 Sunshine Grove Rd,Brooksville,FL 34613 License# I CBC1254791 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE N/A REGISTERED I Y/ N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE N/A REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE N/A REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# —� <br /> OTHER COMPANY <br /> SIGNATURE N/A REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC 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 />