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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 /> 5211211 1 :aaaa <br /> Owners Name SILVEREST EDWIN R&ROBIN L Owner Phone Number 813-388-0804 <br /> Owners Address 1 38627 B AVE,ZEPHYRHILLS,FL 33542-6060 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 38627 B AVENUE,ZEPHYRHILLS LOT# <br /> SUBDIVISION PARCEL ID# 14-26-21-0010-01900-0090 <br /> (OBTAINED FROM PROPERTY TAX NOTICE; <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN 0 DEMOLISH <br /> e INSTALL a REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK REMOVE AND REPLACE SAME SIZE WINDOWS 6 <br /> BUILDING SIZE I SO FOOTAGE HEIGHT <br /> ©BUILDING $ 11,627 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 Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> TzBUILDER r COMPANYSIGNATURE REGISTERED Y/N FEE CURREN N <br /> Address 1O7vt C'ZOIK 0 `j License# [� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address License# <br /> aa�!!Itailititi��(lel0a■■a■■raaaa�l�!!■at8®i�ilBaaala/say■i®�E�taa�aaelt!li�i <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 onsile,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safely 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&Ccntractor 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 />