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813-780-0020 City of Zephyrhills Permit Application FaX-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 813 ) 512 6014 <br /> ■cIIIIleelfaa ■.aas <br /> Owners Name Laura Ward Owner Phone Number 813 447 5525 <br /> Owners Address 1 39513 Kennedy Ave Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 39513 Kennedy Ave LOT# <br /> SUBDIVISION LINCOLN HEIGHTS PARCEL ID# 12-26-21-0280-00000-0020 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) - <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK Window replacement,size for size-6 Windows 1 SGD <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> =BUILDING $ 9802 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.F�E.C. <br /> =PLUMBING $ �/ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER ^ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO C//- <br /> BUILDER COMPANY Coastal Green Energy Solutions <br /> SIGNATURE fff REGISTERED I Y/N FEE CURREN I Y/N <br /> Address 6710 Benjamin Rd#200 License# I CGC1523579 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I 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 I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> I.1I1.1113I.II.I,t III.1all_I.I1Il.11.1I:I1II1II19I.I11.11IPII Jim' <br /> I.1.aIIIaI.aTIfa 11111.I.I111 <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,Stomlwater 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 Farms.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 Attorney(far 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 />