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013- 400-020 City of Zephyrhills Permit Application Fax-013-780-0021 <br /> Building Department <br /> Date Received Phone ContactforPandit' , 561 721 _ 9921 x 305 <br /> (( WACHOVIA BANK N.A. / THOMAS REU ER phone Number 772 - 778 -6189 <br /> Owner'sAddresl BOX 2609 CARLSBAD, CA 92018 I Owner Phone Number <br /> Fee Simple Tltlehotder Name 1 I Owner Phone Number 1 <br /> Fee Simple 1W holder Address I <br /> JOB ADDRESS <br /> I 5230 6TH STREET ZEPHYRHILLS, FLORIDA 33541 1 LOT# 1 <br /> SUBDIVISION 1 I P 11- 26 -21- 0010 - 15400 -0190 <br /> (OBTAINED FROM PROPERTY TAX NGTCEI <br /> WORK PROPOSED (� NEW COMM E ADO1ALT r SIGN Q [] DEMOUSH <br /> R INSTALL REPAIR <br /> PROPOSED USE = SFR D COMM 1 OTHER 1 I <br /> TYPe OF cONSTRUCT1oN = ewes p FRAME F STEEL Q 1 I <br /> DESCRIPTION aFWORK I RE- ROOF OF THE BANK shingles in 2 areas, fibertite on the flat roof 1 <br /> BUILDING SIZE I 1 so FOOTAGE 1400 shi gle (.orm <br /> r1BUILDING IS VALUATION OF TOTAL C UCTION 50,550 <br /> =ELECTRICAL IS AMP SERVICE — rt ,i ESS ENERGY 0 W.R.E.C. <br /> =PLUMBING I 1 / ^ /( y � / �j f <br /> 1 �r <br /> [MECHANICAL I; I VALUATION OF MECHANICAL. INSTALLATION ,) e. <br /> 0� <br /> 1 rl ROOFlNGgx SPECIALTY r7 OTHER <br /> FINISHED FLOOR ELEVATIONS f FLOOD ZONE AREA =YES NO <br /> 1 1 1 <br /> BUILDER COMPANY 1 <br /> SIGNATURE QED 1 Y/ N I neculatte I Y/ ft I <br /> Address 1 1 Uoansa • 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ (4 I FEE CURREP 1 Y/14 1 <br /> Address 1 1 Manse f <br /> PLUMBER COMPANY <br /> SIGNATURE FEcia1TiR o l Y1 N 1 FEE a1RAEA I Y 1 N I <br /> Address 1 1 License* 1 <br /> MECHANICAL It, • PANY <br /> SIGNATURE _ J Y/ N 1 FE cURREb 1 Y f N I <br /> Address .— ' t trANNIIIII1 License # 1 <br /> OTHER .I / / / //� ��� �� *� colkPANY I PETERSENDEAN ROOFING AND SOLAf <br /> SIGNATURE i / / = / /�%'_ REGISTERED 1 Y/ N I FEE carper 1 Y 1 N I <br /> Add FAIRFIELD DR WPB, FL 33407 License I CCC 1321865 1 <br /> II1I11I111t111II111I1IIII11I1I111 ill I111I1I11111I1IIIII1I11I1I1III1I <br /> RESIDENTIAL Attach (2) Plat Plane; (2) eels or Building Plans; (1) set of Energy Forms: R-O-W PeRnit far new construction, <br /> Minimum ten (10) warkklg days after sbmitial date. Required °netts, Canahucllon Pians, Sloemwater Pfens w/ Slit Fence installed, <br /> Sanitary Fadlllies & 1 dumpeter, 5tte Work Permit for subdvisian.Rarga pre)eds <br /> COMMERCIAL Attach (3) complete sets d Bulking Plana plus a Lire Safety Page; (1) set of Enemy Forms. R-0.110 Permit for new construction. <br /> Minimum ten (10) woddng days alter eubnded date. Required Gnalte, Conteetlon Plane. Stacmweter Plans wl Set Fence Installed, <br /> Sanitary FacplUes & 1 dumpster. Sire Work Pernik for al new emerge. All t OMM:Id requirements must meat compliance <br /> SIGN PERMIT Attach (2) ads of Engineered Ptana. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> 1 t " I 1 <br /> Directions: <br /> F111 out application completely. <br /> Owner & Contedor l ige back deprecation. notated <br /> if over $2500, a Notice of Commencement le required. (ANC upgrades over $7000) <br /> " Agent (for the contractor) or Power of Manley (far the owned would be someone with notarized latter from owner euMnoriiing carne <br /> 0V611 THE COUNTER PERMITTING (Front of Application Only) <br /> Rends if shingles Sewers Service Upgrades NC Fences (PloUSukvey/Footage) <br /> Drivewayys•Not aver Courtier M an public roadwaya_needs ROW <br />