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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> r a � <br /> Date Received Phone Contact for Permitting 813 908 _ 0131 <br /> I I I 1 1 1 1 1 1 1 1 1 1 <br /> Owner's Name Ruffin Cheryl E R C Robert Owner Phone Number 847-343-I)853 <br /> Owner's Address 6401 Huntington DrZephyrhills FL 33542 Owner Phone Number <br /> Fee Simple Titleholder Name I N/A Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 6401 Huntington Drive Zephyrhilis FL 33542 LOT# F <br /> SUBDIVISION Silver Oaks PARCEL ID# 03-26-0120-00000-0890 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT LJ SIGN = _ DEMOLISH <br /> e INSTALL e 1!REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK Replace Same Size Impact:5 Windows <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> X=BUILDING $ 8 1500-CIO 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 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> a7rJ <br /> BUILDER Y Weather Tits Windows <br /> SIGNATURE REGISTERED. Y/ N FEE CURREN Y(N <br /> Address 2119 W Columbus Dr Tampa FL 33607 License# CGC1515541 <br /> ELECTRICIAN N/A COMPANY WA <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address N/A License# <br /> PLUMBER N/A COMPANY N/A <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address NIA License# <br /> MECHANICAL NIA COMPANY NIA <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11 N <br /> Address NIA License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y I N FEE CURREN LILN <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 subdlvislons/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(far 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 />