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"•"•"""'"' %-Ity UI Lt:pl lyl I IIIIb rCl l l llt r ppi uctuull ,a^",�-•��w�' <br /> i Building Department <br /> Date Received Phone Contact for Permitting <br /> _I,-1_I_L.1-1_I- ----- -- ` -- -1-7-1-I-1 - -- <br /> Owner's Name Bejai Sanichara Owner hone Number <br /> Owner's Address 2820 PankaW Ln Valrico,FL 33596 Owner hone Number <br /> Fee Simple Titleholder Name I Owner hone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 37812 Hart Circle,Zephyrhills, FL 33542 LOT# 13/14 <br /> SUBDIVISION Forest Heights PARCELID# 10-26-21- 050-00200-0130 <br /> (O AINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR ADD/ALT = SI N Q DEMOLISH <br /> INSTALL x REPAIR <br /> PROPOSED USE SFR 0 cofw = O HER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = S EL = <br /> DESCRIPTION OF WORK Complete shingle re-roof <br /> BUILDING SIZE SO FOOTAGE 3120 H IGHT 1 1 StOry <br /> =BUILDING S VALUATION OF TOTAL CONST UCTION <br /> =ELECTRICAL S AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING S <br /> =MECHANICAL S VALUATION OF MECHANICAL NSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = O HER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY Gal Force Roofing&Restoration <br /> SIGNATURE - ti/ REGISTERED ! N FEE CURREI. I Y/N <br /> Address 1463 Oakfield Drive,Suite#129.Brandon,FL 33511 License" CCC1331253 <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISIERED Y/ N FEE CURREN Y/N <br /> Address License" <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED XL N J FEE CURREN Y/N <br /> Address License/: <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y!N <br /> Address License <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i t i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 l l l t l l <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms: -O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required ensile,Co struction Plans,Slormwraler Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large p ejects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set f Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Co struction Plans.Stormwater Plans w/Silt Fence installed. <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All ommercial 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. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with ni tarized 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/Foot ge) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />