HomeMy WebLinkAbout21-3182.1 4 ,
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Name: RUBY & WENDELL NIEUWENDAM I Permit Type: Building General (Residential)
Class of Work: Reroof (Shingle Only)
Address: 2780 E Fowler Ave UNIT 161
TAMPA, FL 33612
Phone:
REROOF SHINGLE 45 OF 28
Building Valuation:
Electrical Valuation:
Mechanical Valuation:
Plumbing Valuation:
Total Valuation: $0.00
Total Fees:
Amount Paid:
Date Paid:
Contractor: 617#7777AMM
ROOFING INC
*3
entities such as water rri�anagement, st e agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
ts to Vol -f, rr-r, i . 11iii I iii, . I j .
,omplete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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0011TRACTOR SIGNATURE
PE401T OFFICE
A a 0 &
W111111 It 0 ---
douu� I 10 1 0 0 IL
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIREJ
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Faxe813e780m0021
v wilding Department
Date Received
Phone Contact for Pormittin �-
Cwneres Name. Owner 'Fhone,Nue c
^.
OwneftAddress. w _ Ci Owner PhoneNumber
Fee Simple Titleholder Nerve Owner Phone,'Number
Fee Simple Titleholdde A dress
JOB ADDRESS � 61
SUBDIVISION PARCEL 1 ` b- t C,� • rw?
(DETAINED OaoM PkdOERTY TAX NOTICE)
C?RIf PROPOSED « EW,CONSiR AL?C)/ALT Sib �' DEMOLISH
El INSTALL E3 REPAIR
PROPOSED 415E SFR COMM OTHER
TYPE CF'CCNSTRUCTI N BLOCK. ,tFRAME STEEL
DESCRIPTION OF WORKit C- Cx 9"`�Ca �
t i �
BUILDING SIZE $0 FOOTAGE HEIGHT t
F3tJlL Ihl VALUATION OF TOTAL CONSTRUCTION !
ELECTRICAL AMP'SERVIOE PROGRESS ENERGY W.A.E.C.
PLUMBING $
MEQHANICAL $ VALUATION OF MECHANICAL INSTALLATION
CAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS" FLOOD ZON AREA `P NO
a CO P Y�,
SIGNATURE REGISTERED Y / N FEE CURREN . Y / N
Address License
ELECTRICI COMPANY
SIGNATURE REGIS_EREP Y /" N FEE CURREP , ,Y /,N
Address License
PLUMBER COMPANY
SIGNATURE REGISTERED ;Y/�;W FEE Ci1RREP
Address License
MECHANICAL, COMPANY '
SIGNATURE<REGISTERED *l� N; FEr�cuRREP
Address License
OTHER COMPANY
SIGNATURE REGISTERED � / N FEE Gt9FtREP � /
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Address
License
11,!°t,1t,1
RESIDENTIAL Atta�i ��2)�T'h�t.Rla�s,t��) skis �f wild€Rg �la,��, (1 },�S�t ofkEnsrgy Falrrr►s, R � Permit for new, sires ion.
Minimum ten (10)'workrno clays ift4 subn�IttaT dsto, FQ01r d'od t 'CdrlstiUc ioii"Flsn ;Sin a u t r'I Id€�s ail hilt F €ico:irastsll d,
Sanitary Facilities S 1 durnpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach,(2),, . mptete sets of Building Plane plus a Llfe�afe,t v,P e; (1) set of Energy Forms. R-O»yV Permit for new construction.
Minimum ten Construct€on� PlanO,a, to wAtet,; Plahs �y/:Sli) Fehr nsts'lled,:
Sanitary.Fac€lities:& 1.dumpster. Site Work Perrnitfor all new projects. All commercial r6quiroments most meat cohtplianue M
SIGN PERMIT Attach (2)sdt§"of Engineered Polaris:
****PRCFERTY StJ ' EYrrequired for all NEW, construction.
Directions,
Pill out ,a application completely.
Owner ntradtbr back,of application, notarized
If over $ 500, a Notice of Commencement is required. (A/C upgrades over $7500)
** Agent (for thecontractor) or Dower of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER, PERMITTING (copyaof contract required)
Reroofs if shingles Sew Service iJPOra� ,68 A/(C 1� es (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways -needs ROW