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813- 780 -0020 City of Zephyrhills Permit Application `b( 7s Fax -813- 780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 8 6 3 • .._ 1 1 <br /> Owners Name iJ . — • — . • Owner Phone Number 813 7 8 2 - 4 <br /> Owners Address 39048 10th Ave Z ephy rh i 1 1 S Owner Phone Number <br /> Fee Simple Titleholder Name N /A Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 39048 10th Ave Zephyrhi 1 1 s FT, 33549 LOT# <br /> SUBDIVISION Heather Wood PARCELID# 12- 26 -21- 0090 - 00000 -00 '10 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I SIGN 1 I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR I I COMM I XI OTHER I Wi ndnws 1 <br /> TYPE OF CONSTRUCTION n BLOCK 1 I FRAME I 1 STEEL I OTHER 1 <br /> DESCRIPTION OF WORK Window Replacement <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I 1 BUILDING $ 9,987.14 VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> 1 1 PLUMBING $ <br /> 1 I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> pi GAS 1 1 ROOFING I I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 11YES 1 INO <br /> C4 BUILDER y / ' am COMPANY Seal -Rite, Inc <br /> SIGNATURE ( ��� ��\ REGISTERED Y / N FEE CURRENT Y ! N <br /> Address 4030 S. Pipkin Rd., 4100 Lakeland License# fie. 0 4 - 3 7 -I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE N /A REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE N/A REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE N /A REGISTERED 1 Y / N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE N /A REGISTERED I Y/ N 1 FEE CURRENT 1 "'I 1 <br /> Address License # <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 (3) 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 /> 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 $5000) <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 (Front of Application Only) <br /> Reroofs Sewers Service Upgrades NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />