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813a80-0020 City of Zephryhills Permit Application Fax-813-780-0021 <br /> Building Department II�� <br /> Date Received Phone Contact for Permitting U <br /> [!33[![! !!!!! <br /> Owner's Name Valeria Pummill Owner Phone Number 813 469-3058 <br /> Owner's Address 1 4828 20th St.Zephryhills,FL 33542 Owner Phone Number <br /> I, <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 4828 20th St.Zephryhills,FL 33542 LOT# 39 <br /> SUBDIVISION �A r PARCEL ID# 13-26-21-012MO000-0390 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTft e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK Roof Replac rent <br /> BUILDING SIZE I SO FOOTAGE 1917 HEIGHT I� <br /> BUILDING $81258 58 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ V <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS © ROOFING 0 SPECIALTY = OTHER D <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES X NO ttJ!! <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N I FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N <br /> Address I License# <br /> OTHER COMPANY Restorsurance Services _ <br /> SIGNATURE REGISTERED Y N FEE CURREN Y N <br /> Address 630 N Hart Blvd.Orlando,FL 32818 License# CCC1329220 <br /> !!!!![!.[[!![!!!!!1!![!!I[!!!![!!![!!8!t![!!![!![![!t!!!!!!!![!I!!!!1 <br /> RESIDENTIAL Attach(2)PIol Plans;(2)sets of Building Plans;(1)set of Energy Forms;Rgo PeIitfeernew consbuction, <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 subdivisionsilarge 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/Sin Fence installed, <br /> Sanitary Faclities&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 ofAttomey(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/Foolage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />