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r <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-613-780.0021 <br /> Building Department <br /> Date Rao:ved Phone cantaet for Permitting i M )377 _4888 <br /> mass a aaaaa <br /> MICHON JOHN K 13 3n ses7 <br /> Owner's Name Owner Phone Number <br /> 39697 MEADOWOOD LOOP,ZEPHYRHILLS,FL 33542 /3377-SB97 <br /> Owner's Address Owner Phone Number <br /> MICHON JOHN K' 813.377-5697 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> 97 0 LOOP, P S, 33542 <br /> Fee Simple Titleholder Address <br /> 39697 MEADOWOOO LOOP,ZEPHYRHIL ,FL 33542 <br /> JOB ADDRESS 39697 LOT# <br /> EADOWOOD ESTATES PO 15 PG 13-26.21-0140-00090-0490 <br /> SUBDIVISION 106 LOT 49 OR 5727 PG 674 PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAXI <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN 0 = DEMOLISH <br /> INSTALL R� <br /> PROPOSEDUSE Q SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK © FRAME = STEELrE- = <br /> ROOF 4/12 GAF SHINGLES FLA#10124,FL25974 UNDERLAYMENT <br /> - DESCRIPTION OF WORK <br /> BUILDING SIZE 1,109 SO FOOTAGE HEIGHT 13' <br /> ri'd'�C'rL'R'r['rCS' �'R'+L'S'8-KBE <br /> =BUILDING $6,300 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S 0 AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ 0 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING ® SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS N/A FLOOD ZONE AREA =YES X NO <br /> BUILDER �f COMPANY <br /> SIGNATURE 'N REGISTEREDY/N FEE CURREN Y/N <br /> 6 OOD Ed120 TALLAHASSEE FL 32313 CCC1331981 <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED. Y/N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address I License# <br /> SERENE CONSTRUCTION LLC <br /> OTHER i �+ COMPANY <br /> SIGNATURE REOrsrERED Y/N FEE CURREN I Y/N <br /> Address 75 N ODWARD t ALL 1ASSEE FL 32313 License# CCC1331981 <br /> of AA OtAAAA.AAivAAAIfi.#iIAia4Its #Iingi <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Budding Plans;(1)set of Energy Fortes;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Sat Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsgarge 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)workng days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Sib 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 bark 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 />