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s�3aso-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ° Building Department <br /> Date Received �- Phone Contact for Permitting $13 783 _ 1688 <br /> Owner•s Name DIANA&ARTHUR HILL" Owner Phone Number <br /> Owner's Address 37238 CLINTON AVENUE, DADE CITY, FL Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5436 9TH STREET LOT# 13 & 14 <br /> SUBDIVISION NA Pai�ce�t�# 11-26-21-0010-11900-0130 <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK QX FRAME � STEEL 0 <br /> DESCRIPTION OF WORK COMPLETE DEMOLITION <br /> BUILDING SIZE SQ FOOTAGE S-d I HEIGHT � � I '3���SI <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q� W.R.E.C. <br /> OPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> -1-{-1--1-FF-�-�f-1--4-{-f�-1--F-F-1-FI-��1�-F-�1--1--1-4-1-1-1--1-1-1--1--1-1-1�4-1-1-1--1--E-1�1-1--1--F-F-1--1-1--�-�1--1--4-Fa-FI-�1-f-1--1- <br /> BUILDER � COMPANY CROSS ENVIRONMENTAL SERVICES, INC <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address p� �C•Z-�9 b7'� � l�'(.,3� License# CGC062981 <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 /> IIIIIIIIIIIIIIIIIII111111�111111111111111111111111111111111111111111 <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 /> �1�1..��{..b.i.�b.��l..�l�l..�l�l:.�l�f.-I..�I..I�I�I..I�I..I..��L.�I.a�l..l�l�l..l��:..:..:���^I..�f�1..1..4.L..1��C..i.:^i..r�f..�l�l..l.. <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. (AlC 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 (Front of Application 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 />