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s���aaoo2o City of Zephyrhills Permit Appli aX-e��-�saoo2� <br /> � �_ � <br /> Building Depa ent� <br /> �Date R�''c'I;e� .i� i�� phone Contactior Pe��i� 813 713 1313 I <br /> owners Name �REN HARDEN owner Phone Number 813-780-9963 <br /> Owners Address 5237 4th ST.ZEPHYRHILLS FL 33542 Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number � <br /> Fee Simple TiUeholder Address <br /> JOB ADDRESS 5237 4th ST_ZEPHYRHILLS FL.33542 LOT# �-4 <br /> SUBDIVISION PARCELIQ/� �1-26-21-0010-13000-0010 <br /> (OBTAINED FROM PROPERiY TAX N071C� <br /> WORK PROPOSED e NEW CON57R e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIP110N OF WORK RE-ROOF SHINGLE ROOF WITH NEW UNDRLAYMENT AND MATERRIB METAL <br /> BUILDING SIZE SQ FOOTAGE 1120 HEIGHT � ^ � l V <br /> l' � <br /> �BUILDING $$g97.50 VALUATION OF TOTAL CONSTRUCTION � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � �n 'w � <br /> O �e n�--�WY\ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ���� <br /> QGAS Q ROOFING � SPECIALTY 0 OTHER � p��/� <br /> /`�— <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE cuRaEN Y/N <br /> Address License� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N �cUttR� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE �cis�xen Y/ N �cu� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE cURREN Y/N <br /> Address License# <br /> / <br /> OTHER ' � COMPANY TLC ROOFING LLC <br /> SIGNATURE �cisi�o / N �cUr� Y/N <br /> Address P O BOX 1745 DADE CITY FL 33526 License� CCC1328205 <br /> IIIIIIIIIIIIIIII111111111111111111111111111111111111t11111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit far new construction, <br /> � Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary FaciliGes 81 dumpster;Site Work Permit for subdivisionsllarge projeds <br /> COMMERCIAL Attach(2)complete sets of Building Plans ptus a L'rfe Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new canstruction. <br /> Minimum ten(70)woriting days after submittal date. Required onsite,Constructlon Plans,Stortnwater 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. i <br /> Directions:• <br /> Fill out application completely. <br /> Owner&ConVacror sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> " Agent(for the conVactor)or Power of Attomey(for lhe owner)would be someone vrith notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITf1NG (copy of contract required) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIot/Survey/Faotage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />