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$�s-7so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , <br /> Building Department <br /> �. . <br /> Date Received Phone Contact for Permitting 813 783 _ 1688 , <br /> Owner's Name �KEYSHA&JAMES COLLYMORE Owner Phone Number <br /> Owner's Address 301 VANDERBILT AVENUE Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 38038 7TH AVENUE LOT# 1,2,3 <br /> SUBDIVISION NA PARCEL ID# 11-26-21-0010-12900-0015 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE OX SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK QX FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK COMPLETE DEMOLITION <br /> BUILDING SIZE SQ FOOTAGE �,� HEIGHT � ��V��`�f <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> -�1-f-��-{-1-f-�F-1--1-1-1--FFI--��1--�-{-4-1�-F-1-1-1-�FI--�1-1--1-F{-1-�-f�-1�-1--�1-1--1-�I-i-1-E-�-�1-1--FF 1-�F- <br /> BUILDER COMPANY CROSS ENVIRONMENTAL SERVICES, INC <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address P(� �o1C �Z9�1�` S'�,S r� � 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 /> Iltllllllllltllllllllllllllllllllltlllllllllllllttlllllllllllllllll <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 /> ;*'iPROPERTY SURVEY required for all NEW construction. <br /> �1�1..1��1..��1..1-i�l..l..{�1..4.�f.�1..{.�.�I..C..:..rC..C�:..C..r7..r�1..1��C..�..� ' ' '...'r.'r��:..:..r7..��f�f� <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 Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIITING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Sunrey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> I <br />