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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ' _ <br /> Phone Contact for Permitting <br /> .ExiIIIi E'ita J �i <br /> Owner's Name CRONK TEDDIE N&NANCY L Owner Phone Number (813)355-3973 <br /> Owner's Address 1 37442 BLUEBERRY CT ZEPHYRHILLS,FL 33542-7939 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 37442 BLUEBERRY COURT,ZEPHYRHILLS,FL 33542 LOT# <br /> SUBDIVISION PARCEL ID# 10-26-21-0120-00000-0320 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT 0 SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK REMOVE AND REPLACE SAME SIZE WINDOWS 9 NON IMPCT <br /> BUILDING SIZE I SO FOOTAGE HEIGHT <br /> =BUILDING $ 12622 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q ✓/PROGRESS ENERGY Q 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 a11✓ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN L11N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# tr <br /> OTHER SAMUEL OCHSTEIN COMPANY NEWSOUTH WINDOW SOLUTION Y <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address 10741 CROSSROADS COMMERCE BLVD TAM License# 7RC-1330822 <br /> 353.1i.9IS1I1111.11i19[119.1 94.Ili•11iIIa31 All 9.*4-9V!!il.i['111i*WXI!19.1f■ILIIIU111L#11.tT111ALo..ti Ill.it <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 /> 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$760D) <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 /> Drlvoways-Not over Counter if on public roadways..needs ROW <br />