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e�s-�ao-oozo City of Zephyfiills Permit Application FaxB13-780-0021 <br /> Bulding Department <br /> DateReceived ' phaneContactforPermittin 954 427_ 3076, 109 <br /> � � � i � � � � � � �� � <br /> Owner's Name CHOVIA BANK N A C/O THOMSON RE ERSp��phone Number <br /> Owner•sAddress PO BOX 2609, CARLSBAD CA 92018 p��phoneNumber �� <br /> Fee Simple TiHeholder Name � � Owner phone Number �� <br /> Fee Simple Titlehdder Address � <br /> JOBADDRESS 5230 6TH ST., ZEPHYRHII.LS, FL 33542 LOT# [� <br /> SUBDIVISION T� OF ZEPHYRHILLS ppRCELID# 11-26-21-0010-15400-0190 � <br /> (OBTAINED FROM PROPERTV TA7(NOTICE) <br /> WORlf PROPOSED e NEW CONSTR 8 ADDlALT X� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER � <br /> TYPE OF CONSTRUCTION O BLOCK Q FRAME � STEEL � (--� <br /> DESCRIPTION OF WORK INSTALL ATM � <br /> BUILDING SIZE �--� �FOOTAGE� HEIGHT �� <br /> Trm-r <br /> QBUILDING $ 19,200.00 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ 2�800.00 �P SERVICE Q PROGRESS ENERGY Q W R E C <br /> , � <br /> �PLUMBING �� .� � �� 7���'�, <br /> �.�N�f� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � �-�-��--. <br /> ��% � ���. 9 <br /> �GAS ROOFING Q SPECIALTY � OTHER 1/ 5 �7 <br /> FINISHED FLOOR ELEVAT ONS FLOOD 20NE AREA �YES NO /� ���i �/ij � � <br /> � <br /> BUILDER pM�y bIDM SERVICES, INC. � �,°l/ , J✓�� <br /> SIGNATURE RE TERED Y/ N FEE CURREN Y/N <br /> Address Z � �ll� � � . License# <br /> C',�t3C D�F�'� ��3��� 3 <br /> ELECTRICIAN � � �jjpp�yy HIDM SERVICES, INC. � <br /> SIGNATURE r -�J <br /> REGISTERED Y/ N FEE CURREN Y/N <br /> Address License#�� <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISiERED 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 REGIS7ERED Y/ N FEE CURREN Y/N <br /> ���g License# �� <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 / 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans,(2)sets of Buildmg Plans,(t)set of Energy Fortns;R-0-W Pertnrt tor new construction, <br /> Minimum ten(10)workmg days aRer submittai date Required onsde,Constructron Plans,Stormwater Plans w/Sift Fence instailed, <br /> Sanitary Facih6es 8 1 dumpster,Srte Work Permrt for subdrvisionsparge projects <br /> COMMERCIAL Ariach(3)complete sets of Building Plans plus a lde Safety Page,(1)set of Energy Forms R-0-W Permit for new coristruction. <br /> Minfmum ten(10)working days aRer submittal date Reqwred orude,Construct�on Pians,Stormwater Plans w!Silt Fe�ce installed, <br /> Sanitary Facdft�es&1 dumpster Srte Work Pertnit for all new prqeds All commercial requiremeMS must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans- <br /> "'"PROPERIY SURVEY reqwred for all NEW construction <br /> D�rections.• � { <br /> Fill out appl�cation completely <br /> Owner 8 Contraclw sig�back of applicahon,notanzed <br /> If over 52500,a Notice of Commencement is required. (NC upgredes over 57600) <br /> " Agent(for the contrador)or Power of Attomey(for the owr�er)would be someone with notanzed letter from owner authonzing same <br /> OVER THE COUNTER PERMITTING (Front M Application Only) <br /> Reroofs�f shingles Sewers Service Upgrades AIC Fences(PbUSurveyfFootage) <br /> Driveways-Not over Counter R on pubhc roadways needs ROW <br />