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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name Joseph E. Mitchell . . . . . . . A_JLJ1 I I Downer Phone Number 828-552-0226 <br /> Owner's Address F7347 Derbyshire Drive,I Z'hills J Owner Phone Number <br /> Fee Simple Titleholder Name I Joseph Ethan Mitchell Owner Phone Number <br /> Fee Simple Titleholder Address 37347 Derbyshire Drive, Zephyrhills, FL 33542 <br /> JOB ADDRESS 37347 Derbyshire Drive, Zephyrhills, FL 33542 ILOT# 92 <br /> SUBDIVISION Wedgewood Manor PARCEL D#1 110-26-21-0120-00000-0920 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE FX7 SFR Q COMM OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL L] I <br /> Install 7 replacement windows in living space (excluding garage) . All <br /> 11 <br /> DESCRIPTION OF WORK to be sinqle-hunq, same size as original--no structural modificationsl <br /> BUILDING SIZEC SO FOOTAGE HEIGHT <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> =BUILDING C <br /> 3,000.00 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ e7 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY (Mm-eY� P�ywe�'el'Z- <br /> SIGNATURE t REGISTERED I Y1 N_J FEE CURREN I YIN <br /> Address License# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_XLN J <br /> Address _71 License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_jLN_J <br /> Address I License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED Y/ N J FEE CURREN <br /> Address License# <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&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&I 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 /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ■ . . . . . . . . . . . . . . . . . . . . . . . . . . . . <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 />