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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 /> Ia 22 as aa[ - saga! <br /> Owners Name Roswell Wallwork Owner Phone Number 860-935-9005 <br /> Owners Address 6706 Northlake Dr. Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 6706 Northlake Dr.Zephyrhills FL 33542 LOT# <br /> SUBDIVISION PARCEL ID# 03-26-21-0150-00000-0180 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN = 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK AC Change Out,4 Ton,14 Seer,HP,10 KW with 40 Gallon Electric Hot Water Heater in the garage <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> ®PLUMBING $1,195 <br /> ®MECHANICAL $12,276 VALUATION OF MECHANICAL INSTALLAT ON. <br /> ROOFING SPECIALTY OTHER <br /> =GAS � 0 � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address License# <br /> PLUMBER /� ( COMPANY AC Guyz LLC <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address 5706 Benjamin Center Dr.Suite 120,Tampa FL 33634 License# CFC1430576 <br /> MECHANICAL !I/ COMPANY AC GUyZ LLC <br /> SIGNATURE /V l REGISTERED Y/N FEE CURREN I Y/N <br /> Address 5706 Benjamin Center Dr.Suite 120,Tampa FL 33634 License# I CAC1813626 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> a!.a!!-!,i!.a!i!.!-!.!!Zara!as!_a_!!9-il a-!.!!_a a a_!l.S.-!!!_!.!!!•!!.!!!.!-!,!_!-!!Zara!,!!!-!_!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 onsite,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 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 /> ------------------ <br /> Directions•% - <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement is required.(A/C upgrades over$7600) <br /> Agent(for the contractor)or Power of Attomey(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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />