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813-780-0020 City of Zephy•hills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name Ken Dittman Owner Phone Number 352 232-1601 <br /> Owner's Address 5740 Dogwood St.Zephryhills FL 33542 Owner Phone Number 352 232-1601 <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5740 Dogwood St.Zephryhills FL 33542 LOT# 115&116 <br /> SUBDIVISION PARCELID# 12-26-21-0260-02000-1151 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL X REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK Re-roof metal.31 squares. Poly TU Plus underlayment. <br /> BUILDING SIZE I SO FOOTAGE 31 HEIGHT <br /> =BUILDING $ 32,788 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ PV <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION & <br /> =GAS ® ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO rJ r? <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED „YC/ N FEE CU—., Y/N <br /> Address L ;� I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY To-tots cchG m� <br /> SIGNATURE REGISTERED I X/ N FEE CURREN I Y/N <br /> Address te,>Cko FL''"�SSLicense# I GGG.%3304 g9 <br /> Iillllltllllllllll IIIIIIIIIIt111tI11tlt1itltltlt111111111i11111111 <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,Stonnwater 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$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 />