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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 06-9895_ <br /> Owners Name Roy Fernandez Owner Phone Number 813-450-5006 <br /> Owner's Address 5736 9th St Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5736 9th St LOT# 11&12 <br /> SUBDIVISION PARCEL ID# 1-26-21-0010-03500-0110 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT SIGN Q = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM OTHER I Replace <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME Q STEEL 0 <br /> DESCRIPTION OF WORK Replace size for size 5 windows,2 Doors <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> BUILDING $9560 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q ����P,,RRrOGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ �D d/l/ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /�Vt <br /> =GAS 0 ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO t/ <br /> I ' <br /> BUILDER COMPANY Lipton Window and Door <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address 17335 Gunlock Rd Lutz FL 33558 License# CBC1258461 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE ( REGISTERED I YIN FEE CURRER <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN Y I N <br /> Address License# F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK Y/N <br /> Address License# <br /> IIIIIIIIIIIII111111111111111111111111111111111111111111111111111111 <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 subdivisionsAarge 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,Stormwater 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 /> 44"1 <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. (AIC 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 AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> 1 <br />