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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 ( Z3 <br /> aacaaaaa a <br /> ownersName HERNANDEZ FRANK JR&LUZ ESTHER Owner Phone Number �/— <br /> Owner's Address 2930 MOULDEN HOLLOW DRIVE,ZEPHYRHILLS FL 33540 Owner Phone Numbs <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 2930 MOULDEN HOLLOW DRIVE,ZEPHYRHILLS FL 33540 1 LOT# <br /> SUBDIMSION HIDDEN RIVER PARCEL I D# 25-26-21-0100-00000-0610 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR B KADD/ALT IJ SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK SCREEN ENCLOSURE OVER PROPOSED CONCRETE FOOTER AND PAVER DECK <br /> BUILDING SIZE SQ FOOTAGE J{0 O\/ HEIGHT <br /> -tt r<L-lux-1c <br /> EXIBUILDING $ 5,598.00 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ 1�v <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION` (/ YV <br /> =GAS 0 OTHER 0� <br /> 0 ROOFING 0 SPECIALTY <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO 44h <br /> BUILDER COMPANY POMBO'S CONTRACTING SERVICES INC <br /> SIGNATURE REGISTERED f Y/N FEE CURREN <br /> Address 14413 N HALE AVE TAMPA FL 33614 License# CRC1328960 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <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 I FEE CURREN I Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> [!![[[[!!! 1!!![[I[!![[! i!!II <br /> ttt![!!t !!l[I!t!t[![! 1[[[[!![[[[llll[!!i <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new constructlon, <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 subdlvislonstlarge 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$2500,a Notice of Commencement is required.(A/C 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 A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />