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s�saao-oozo City of Zephyrhills Permit Ap�plication Fax-813-780-0021 <br /> Building Department <br /> Date Received 01/12/2016 Phone Contact for Permilting 813 780 7633 x 224 <br /> -rm- <br /> � Owner's Name Clty of Zephyfhllls Owner Phone Number 813-780-0000 <br /> owner•s Address 5335 Sth St Zephy�hills,FL 33542-4312 Owner Phone Number <br /> Fee Simple Titleholder Name N�A Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 39110 South Ave Zephyrhills,FL 33542-5255 LOT# � <br /> SUBDIVISION PARCEL ID# 13-26-21-0000-00500-0000 , <br /> � (OBTAINED FROM PROPERTY TA7(NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT x0 SIGN Q Q DEMOLISH <br /> � INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> IYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q common brick <br /> DESCRIPTION OF WORK Re-roof Timberline'Shin les 95 s . <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> Q BUILDING $ 9 rp ��O VALUATION OF TOTAL CONSTRUCTION <br /> T'"� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> I QPLUMBING $ - � �GJ(L <br /> � I � �� <br />� Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ..-4.:-�-:..-...�.�.��.�.��.�.��...r..-.�..-r�.-.r....-.-...r•�-.�-.-. ,-.�.�-r.��.�.-.�T-. .��...� <br /> BUILDER � � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> i <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 /> � � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER ' COMPANY R man Commercial Roofi ,INC. <br /> 'SIGNATURE �'� REGISTERED Y/ N FEE CURRE� Y/N <br /> Add�C55 36413 SR 54 Zephyrhills,FL 33541 License# ��J�., I ✓ ✓O�� <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)set of Energy Fortns;R-O-W Permit for new consWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projecls <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construdion. I <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians 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 consWction. <br /> +i-�1-:�.�-r�..-r1-.1-.f-:�-.-.-�I--1-F+F-1-�-1.-1-1-1.-F�1.-FI.-4�C--r.--..-.-1.-�:--.-r.�l-i-1-1--FO-.�..-r.��...r...r� <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Directions: ' <br /> Fill out applicatlon completely I <br /> Owner&ConVactor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades 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 shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />