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\ <br /> r� <br /> _;, <br /> si�-7aaoozo City of Zephyrhills Permit Application Fax�13-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittln <br /> I Owner's Name John Foster Owner Phone Number 8�3-390-0068 <br /> Owners Address �9561 Leonard Rd.Lutz,FL 33558 Owner Phone Number <br /> Fee Sfmple TiUeholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOB ADDRESS 38309 12th Ave.Zephyrhills,FL 33542 LOT# �� <br /> SUBDIVISION City Of Zephyrhills ppRCEL ID# ��"z6-21-0010-03400-0131 <br /> (OBTAINED FROM PROPERTY TAl(NOi1C� , <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH <br /> e INSTALL e REPAIR ' <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION oP WORK Re-Roof using Certainteed Landmark shingles FL5444-R8 and Peak peel and stick underiayment FL171 6-R1 <br /> BUILDING SIZE SQ FOOTAGE 3500 HEIGHT � <br /> I QBUILDING $ g,000 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> � J '� (� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER n ( SC� <br /> [/ � <br /> FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES NO <br /> BUILDER COMPANY Bayside Roofing Professionals <br /> SIGNATURE �cisr� Y/ N FEE CURREA Y/N <br /> Address 5439 Mile Stretch Dr.Holiday,FL 34690 License# CCC1328720 " <br /> ELECTRICIAN COMPANY <br /> SIGNATURE aecis7� Y/ N FEE CURREP Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N F�cuwtEn Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new consWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new consWction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Ptans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must mee[compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ••'•PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over y2500,a Notice of Commencement is requlred. (AIC upgredes 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 (copy of contract required). <br /> Reroofs if shfngles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />