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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> 727 919-5 Phone Contact for Permitting 661 <br /> Vassar- <br /> Owner's Name Anthony and Nicoleft.e Nicoletti Owner Phone Number 1727-494-6557 <br /> owners Address l4613 Harborpointe Dr. Port Richey, FL Owner Phone Number' F_ <br /> Fee Simple Titleholder Name Owner Phone Number <br /> is <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 15139 Gall Blvd. Zephyrhills, FL LOT# <br /> is <br /> SUBDIVISION PARCEL ID#[11-26-21-0010-18500-0010 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRH R ADD/ALT SIGN DEMOLISH INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK E] FRAME STEEL QF_ <br /> DESCRIPTION OF WORK Remodel windows, roof,' drywall, lighting, flooring, stucco and paint. <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 5LJEXJLJL3LWJLXJL CaVEAL it.XXXXXILIE&-&JEXJEX3LAL3L�LkJLkiL kaLkkkk&3Lk%3Lx_k L&&aLkkk&3_1 JL I <br /> F—X-IBUILDING M, I <br /> VALUATION OF TOTAL CONSTRUCTION <br /> F_X_JELECTRICAL AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS ff FLOOD ZONE AREA [ YES NO <br /> BUILDER COMPANY FMFM Construction Corp. <br /> REGISTERED I Y LNJ FEE CURREN <br /> SIGNATURE _N_j <br /> Address 118210 Owen Dr. Hudson, FL 34667 License# [CG791523812 <br /> ELECTRICIAN COMPANY Electric <br /> SIGNATURE REGISTERED Y/N FEE CURREN Ll/N <br /> Address 19230 Star Trl. NPR, FL 34654 <br /> License# I EC 13008736 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN YIN <br /> Address License# <br /> OTHER COMPANY DiMonda Roof Services <br /> SIGNATURE REGISTERED Y/N FEE CURREN LXIN__j <br /> Address 16945 Southwind Hudson, FL 34667 License# 1-6661328751 <br /> t a I 111111 U1111 1.11 its 9-1 <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;&i dumpster,Site Work Permit for subdivisions/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&I dumpster.Site Work Perr,hit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. il <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)i uld be someone with notarized letter from owner authorizing same wo <br /> OVER THE COUNTER PERMITTING (copy of contract requited) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />