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� � aisaeaoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> '`,,� • • Building Department <br /> i <br /> Date Received <br /> Phone ContactforPermitting <br /> Owners Name Owner Phone Number <br /> Owners Address 2 Owner Phone Number <br /> FeeSim IeTiUeholderName Fee Simple <br /> P Owner Phone Number <br /> Fee Simple Titieholder Address <br /> J08ADDRESS 6747 North Lake Dr. Ze h rhills FL 33542 LOT# 14 <br /> SUBDIVISION Silver Oaks PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CoNSfR e ADDlALT Q SIGN Q Q DEMOLISH <br /> X INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIP110N OF WORK R�"�O t" S�-i�c 1 G <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDINC�ROOFIN 10,400.00 <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ly <br /> ?� l " <br /> OGAS Q ROOFING Q SPECIALN 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> • i—i • •—C 0 i ' i 7 6 0 ' i 9 i ' i ' i i 1 ' i '-7.1�4..i <br /> BUILDER COMPANY JASON NEUMANN/NEUMANN ROOFING <br /> SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N <br /> Address 30 7 COMMERCE DR, SAN ANTONIO, FL 3 576 License# CCC1326166 <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 J N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consWction, <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 L'rfe Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Pertnit 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 construdion. <br /> Directions:• <br /> Fill out application completely <br /> Owner 8 ConVactor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades aver$7500) <br /> " Agent(for the conVactar)or Power of Attomey(for the owner)would be someone with natarized letter from owner authorizing same <br /> OVER THE COUNTER PERMII'fING (Front of Application Only) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />