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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 /> t t It t[t t [ I[[L f <br /> owners Name DOLINGER JERRY L SR Owner Phone Number 813-569-8566 <br /> Owners Address 38525 CAMDEN AVE,ZEPHYRHILLS,L 33540-103 Owner Phone Number I NONE <br /> Fee Simple Titleholdor Name Owner Phone Number NONE <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 38525 CAMDEN AVENUE,ZEPHYRHILLS, FL 33540 LOT# 109 <br /> SUBDIVISION ALPHA VILLAGE ESTATES PHASE2 PARCEL ID#I 35-25-21-005A-00000-1090 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> R. INSTALL e REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK LIKE FOR LIKE SAME LOCATION AND ELEVATION 2.OT HEAT PUMP,AIRHANDLER,5KW STRIP HEAT <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> _C_C-{{ L-I <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> ©MECHANICAL $4990.00 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> iiiia <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I. Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL �cr(^.� (�- S COMPANY AC1 LLC <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N <br /> Address 12107 Global Ct,Sarasota,FL 34240 License# I CAC1820105 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN LY/N <br /> Address License# <br /> [If[tiff !lllllf-IIIIfIItLlff[ II [[ [IfllfElll [Lf[[IflllfLl[ Lfttlliftf[; <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,Slornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge 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,Stornwater Plans wl 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 /> Fill out ap'plicalion 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(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 AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />