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813-780-0020 City of Zephyrhills Permit Application Fax-813-760-0021 <br /> Building Department <br /> Date Received P <br /> 813 512 _ 6014 <br /> E IE hone Contact for Permitting ) <br /> !€EEEE' E il7iiE i + <br /> Owner's Name MORRIS LAWRENCE W SR Owner Phone Number 813 312 9613 <br /> Owners Address 4921 8TH ST ZEPHYRHILLS,FL 33542 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 4921 8TH ST ZEPHYRHILLS,FL 33542 LOT# <br /> SUBDIVISION MOORES ADD PARCEL ID# 14-26-21-0010-00700-0060 <br /> (OBTAINED FROM PROPERTY TAX NOTICE( <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK Window replacement,size for size <br /> BUILDING SIZE SCI FOOTAGE HEIGHT <br /> BUILDING $ 10,527 VALUATION OF TOTAL CONSTRUCTION !� <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W �✓ �i <br /> =PLUMBING $ I <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIOIy �y OW=GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> BUILDER �/j / _� COMPANY Coastal Green Energy Solutions <br /> SIGNATURE , l UVUVVV REGISTERED Y/N FEE CURREN I Y/N <br /> Address 6710 Benjamin Rd#200 Tampa,FL 33634 License# I CGC1523579 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y!N FEE CURREN Y!N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y!N <br /> Address License# <br /> i,iftflE,#EElffifiitiEt11E.3tti.lElf'INNIE3 Kill lit 11.1EE13E.[E1111K9.11<1.1•i1 <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 on public roadways..needs ROW <br />