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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Buiiding Department <br /> Date Received Nov. 13, 2013 Phone Contact for Permittin 813 783 -- 9119 <br /> Owner•s Name Dannie E. Jordan Owner Phone Number 352-424-0307 <br /> Owner's Address 5344 9th Street, Ze h rhills, FL 3 542 Owner Phone Number —� <br /> Fee Simple Titieholder Name Owner Phone Number <br /> Fee Simpte Titleholder Address <br /> JOB ADDRESS 5923 7th Street, Zephyrhills, FL 33539 LOT# C� <br /> SUBDIVISION � PARCELID# 11-26-21-0010-00800-0260 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONS7R ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED U8E Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK interior demolition <br /> BUILDING SIZE 3Q FOOTAGE (��c.�/ HEIGHT <br /> BUILDING $ �v J VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ � AMP SERVICE Q __PROGRESS ENERGY Q W.R.E.C. <br /> - � �_ <br /> QPLUMBING $ ----� <br /> . h '� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTAL 6 <br /> _� /.�J„�i-- <br /> T <br /> OGAS Q ROOFING Q SPECIALTY � OTHER � <br /> �,.. � ' . <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��/� <br /> I <br /> BUILDER r COMPANY RTD Construction, <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address P.O. Box 2439 e yrhills, FL 3353 License# CGC060736 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER � � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER � COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <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 Facilitles 8�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 Pe�mit 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 consVuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is required. (A!C upgrades over ST500) <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 (Frb'1'it of AppHtaHan Only) <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 />