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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ���-J�,*s <br /> Building Department Nl-* <br /> Date Received <br /> Phone Contact for Permitting ( ) — <br /> ittitE�t �E[itt <br /> Owner's Name Lance Smith-Three Corners Investments Owner Phone Number $13-997-39$1 <br /> Owner's Address I Owner Phone Number <br /> Fee Simple Titleholder Name I Three Corners Investments LLP i Owner Phone Number <br /> Fee Simple Titleholder Address I PO Box 1536 -6272 Abbott Station Dr.Unit 102 Zephyrhills FL 33542 <br /> JOB ADDRESS 1 5337 23rd St.Zephyrhills F1L 33542 1 LOT# <br /> SUBDIVISION ephyrh Heights PARCEL ID# 12-26-21-003o-oo6OO-017o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSfR B ADD/ALT = 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 old shingles and Re-roof house with asphalt shingles <br /> BUILDING SIZE I SQ FOOTAGE 728 HEIGHT 8 <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = 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 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N I FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N <br /> Address Licensee## <br /> OTHER COMPANY Y <br /> SIGNATUR ,REGISTERED Y/N FEE CURREN Y/N <br /> Address 6426 Huntington Dr.Zephyrhills FL 33542 License# <br /> _WALL[-i 1 i .i.i.l.i.i.i i,Li-i i-Li-i i-!i i.i i-i.i.Li i i_i.i!L■i.i.i.i.i.i-i.Li.i-!.i i l.i i.i-[i i i#i-i i i.i i.l <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,Stornwater 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. + a <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 Attomey(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 />