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873-�20 Cify of Zephyrhills Permit Application F���-�eaoo2� <br /> Bulding qepartrneM <br /> . • <br /> o�a R���ea 352 7gg 0045 <br /> Phone Contact for Permit6n <br /> OwneraName Mark McConchie OwnerPhoneNumber 813 783-4358 <br /> Ovmefs Address D r Owner Phorte Number <br /> Fee Simple Titleholder Name O�mer Phone Numher <br /> Fee Simple Titlehaider Address <br /> JOBADDRESS 6 Rid ewa Dr Ze h rhills FL 33542 �or� � <br /> SUBDM510N Ze h �Rid e PaRc�ia� 03-26-21-0130-00000-0570 <br /> (OBTAINEO FROM PR6PEFiiYTNC HIIi10EJ <br /> WORK PROPOSED � INSwTAILSTR e REPA RT � SIGN Q Q DEMOUSH ' <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CON5iRUCiION � BLOCK � FRAME � S"fEEL � <br /> Remove and replace exisling shinles with GAF TimbeAine shingles 10124.1 using peel an s un e aymen square. <br /> DESCRIPTION OF WORK 5/12 pitch. <br /> BUILDING S� S(�FOOTAGE� HEIGHT <br /> QBUILAING S ��,fO VALUATION OF TOTAL CONSTRUCTION <br /> �j <br /> QELECTRICAL $ AMP SERVICE O PROGRESS ENERGY Q W.R.EC. <br /> QPLUMBING �y ��^n /J i <br /> � ��'� C/ <br /> QMECHANICAL $ VALUATION OF MECNANICAL INSTAI.LAT�ON <br /> QGAS �] ROOFING Q SPECIALTY C] OTHER �( 3z� <br /> FINISHED FLOOR EI.EVATIONS ROOD ZONE AREA �YES NO <br /> BUILDER COMpANY <br /> SIGNQTURE r�S�ep Y/ N �cutzREn Y/N <br /> Address <br /> License� <br /> FI FCTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N �cu�n Y/N <br /> Addm.ss License# <br /> PLUMBER COMPANY <br /> S�GNATURE rx�GiSiF�n Y/ N �Cur�n Y/N <br /> �d^�S License# <br />' MECHANICAL C6MPANY <br /> SIGNATIlRE �s�n Y/ Nf �ct�� Y!N <br /> Addrass ticen,e# <br />, p7H� C��P� Foster's Roofing Enterprises <br /> SIGNATURE t�Ec�srrRm / N �curutEn Y/N <br /> Addm�c P.O.Bax 633 roo vile,FL 34605 <br /> Licellse$ <br /> � � � I � � � � � �.�Ie � � t � � � � � lt � o � ttt � � t � � � � � � tl � � � � � � � � � � � � � � � � � � � lll � t � � � � <br /> RESI�EHTIAL Attach(2)Piot Plans:(2)sets of Bulding Plans:(9)set of Energy Farms;R-O-W Peimitfor new co�Wction, <br /> Minlmum ten(10)wortdng days after submistal date. Required o�ite,CcnsUuctton Plans,Stortnwater Ptans wf Si1[Fence Instailed, <br /> Sanitary Faciiifles 8 1 dumpster,Site Work Perm�t Ior subdivisionsAarge projeds <br /> COIIlMERCIAL Att-ach(2)complete sets of BuBd'mg Plans phLs a Life S�ety Page;(1)set of Energy Forms,R-0-W Pertnit Sor new construc6on. <br /> Minlmum ten(�0)working days after submlrial date. Required onsite,ConstrucUon Pians,Stormurater Plaiu w/S1t Fence installed, <br /> Sanitary Facilitias$9 dumpster Site Work Pertnit for a�new projects.Al!commercial requir8rrlents must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineewd Plans. <br /> ""'PROPER7'Y SURVEY required for all NEW construdlon. <br /> DuecLons. 1 i i 1 t �� 1 1 1 � I I� i i�......� <br /> FlI out applicabon completely, <br /> O�mer&Contracror sign back of applicaUon,notarizetl <br /> If orer$25p0,a Notice of Commencement is requtred. (AIC upgrades over;7500) <br /> " Agent(for the wntrador)or Power of Altomey(for the otimer)uvould be sameone wifh notarized leqer irom owner authorizing same <br /> OVER7HE COUN7ER PERMI7TING (wpy of contrict requlred) <br /> Recoofs iFshingles Sevrers Service Upgrades A/C Fences(PtoUSurvey/Footage) <br /> Uriveways-Not over Counter if on pubfic roadways,.�eds ROW <br />