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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> 4'' Building Department <br /> Date Received 9 CID� _ 14 Phone Contact forPertnittin11 p <br /> Owners Name HUDSON RONALD&TERRII. Owner PhoneNumber 1 U a L15-a5)5 <br /> owners Address 39301 9TH AVENUE,ZEPHYRHILLS,FL 33542 Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 39301 9TH AVENUE,ZEPHYRHILLS, FL 33542 LOT III <br /> SUBDIVISION PARCEL ID# 12-26-21-0300-00000-0040 <br /> WORK PROPOSED a IN CONSTR e REPAIR SIGN(OBTAINED FROM PROPERTY TAX=NOTICE)ADD/ALT DEMOLISH <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION r= BLOCK = FRAME = STEEL QC <br /> DESCRIPTION OF WORK \C `GG� � �7�n�dW� U ( �� r 'S l 2 e <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION yi® <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. yp" <br /> =PLUMBING $ lo, <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER VVV <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> •BUILDER •( •(;� AMPANY• • Renewal By Andersen of Florida . <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address 997 W Kennedy Blvd.Orlando, FL 32810 License# ICGC152613 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED I Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIilllllllllllllllllllllllllllllillllltllllllllllllllllllll <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,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/Iarge 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 onsile,Construction Plans,Stonnwater 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. (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 />