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813-780-0020 City of Zephyrhills Permit Application Fax-013-780-0021 <br /> Building Department <br /> Date Received phone Contact far Permitting <br /> Owner's Name 7=WilliamandRebekah White Owner Phone Number 863-812-5306 <br /> Owner's Address 1 5330 16th Street,Zephyrhills,FL 33542 Owner Phone Number 863-812-0019 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5330 16th Street,Zephyrhills,FL 33542 LOT# <br /> SUBDIVISION PARCEL ID# 11-26-21-0010-17200-0190 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADO/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM 0 OTHER wmd—,P1 ,nt <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK Window replacement,size for size,5 windows,FPA 23505.4 <br /> BUILDING SIZE SQ FOOTAGE _1 030 HEIGHT <br /> =BUILDING $5753.00 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ { 1Y V <br /> `(J/=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION p , <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> O <br /> BUILDER COMPANY Coastal Green Energy Solutions, LLC <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N <br /> Address 6710 Benjamin Rd,Ste.200 Tampa,FL 33634 License# I CGC1523579 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N I FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N I FEE CURREN Y/N <br /> Address I License# <br /> I.1[11'[.I.I.1.[II[[I.I[I1:.1[11.I.[.1[,1.1-all I.I.I.I1.�3.1[.[11.![I.I_I.1..I.[.['AI I'll 1221.2A192at <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,Storrmwater 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 Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Startmwater 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 />