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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> e Building Department <br /> Date Received — Gphone Contact for Permitting 813 512 _ 6014 <br /> €Melt[ E��'ffi1@ <br /> Owner's Name SOLIS DELILAH Owner Phone Number 813 545 9339 <br /> Owners Address 1 39601 KENNEDY AVE ZEPHYRHILLS,FL 33542 Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 39601 KENNEDY AVE ZEPHYRHILLS,FL 33542 LOT# <br /> SUBDIVISION LINCOLN HTS PARCEL ID# 12-26-21-0280-00000-0070 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK Window replacement,size for size <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ 10,000 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ •/ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION=GAS = ROOFING 0 SPECIALTY = OTHER ff,, <br /> 13,1 <br /> btl <br /> V- <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER �f//�� �/ COMPANY Coastal Green Energy Solutions <br /> SIGNATURE \ REGISTERED Y/N FEECURREN Y!N <br /> Address 6710 Benjamin Rd#200 Tampa,FL 33634 License# I CGC1523579 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN I FEE CURREN Y!N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEECURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> I'm <br /> II.ITIII.III.IIII3fI SIR NXIIIIIII..IIIIIS.#1e'flt.IS§IS2IfVRINIffII1iLlll..-t3iERI <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. <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 an public roadways..needs ROW <br />