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813-780-0020 City of Zephyrhills Permit Application Fax-613-780-0021 <br /> 14 Building Department <br /> Date Received _ <br /> Phone Contact for Permitting <br /> Owner's Name DENNIS ERICKA Owner Phone Number (813)679-5684 <br /> Owners Address 39032 CARDINAL AVEZEPHYRHILLS,FL 33542-2207 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 39032 CARDINAL AVENUE,ZEPHYRHILLS,FL 33542 LOT# <br /> SUBDIVISION PARCEL ID# 13-26-21-0100-00000.0180 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT QX SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK REMOVE AND REPLACE SAME SIZE WINDOWS 3,ENTRY DOOR 1 NON IMPCT <br /> BUILDING SIZE I i SQ FOOTAGE HEIGHT <br /> =BUILDING $ 5636 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION )vvs <br /> Q/ <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO V <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN L1/N <br /> Address License# <br /> OTHER SAMUEL OCHSTLEIW COMPANY NEWSOUTH WINDOW SOLUTION <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address 10741 SSROADS COMMERCE BLVD TAMPA 33610 License# CRC-133aB22 <br /> 11.111 <br /> 1!!1•11.1:l11!l11.i11 i1'1!!1l111l1!111!!!!,l11-l.1.! oft <br /> RESIDENTIAL 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 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,Stommwater 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$7600) <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 /> Driveways-Not over Counter if on public roadways..needs ROW <br />