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a�aaeo-aozo City of Zephyrhills Permit Application Fax�1&780-0021 <br /> , , Building Department �j(��^]/ 2_I 2'� <br /> V l / (��� J <br /> Date Received Phone ConWct for Pertnitting 813 312_ 4895 <br /> -1-1Z-IT�-rr <br /> Owners Name Owner Phone Number <br /> ow�ergaaa�ess 6124 9th St.ZEPHYRHILLS FL 33542 ownerPnoneNumber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 6124 9th ST ZEPHYRHILLS FL 33542 �oT# 0 <br /> susoivlsioN TYSON FIRST ADDITION pARCEL IDI� 02-26-21-0160-00200-0060 <br /> (OBTAINED FR067 PROPERiY TA7C NOTICE) <br /> WORK PROPOSED NEW CONSiR ADD/ALT � SIGN Q Q DEMOLISH <br /> e INSTALL REPAIR <br />, PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONS7RUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK REROOF EXISTING FLAT ROOF WITH NEW TPO <br /> BUILDING SIZE 20 SQUARE SQ FOOTAGE 1242 HEIGHT � <br />, QBUILDING $ 7 OOO.00 VALUATION OF TOTAL CONSTRUCTION I <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �� ���i <br /> QPLUMBING $ - <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALIATION <br /> QGAS Q ROOFING � SPECIALTY � OTHER �-���� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �}�1�� <br /> . � l��l � <br /> BUILDER COMPANY <br /> SIGNATURE REGIs7ErtED Y! N FEECURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEe cUaa�d Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N F�cUaREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> " SIGNATURE �REGISTERED Y/ N FEE CURREN Y/N <br /> Address License� <br /> SIGNATURE /L���f✓ e�/ ��""� TLC ROOFING LLC N <br /> Address 20736 HIGHPOND LN DADE CITY FL 33523 ucense� CCC1328205 <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fartns;R-O-W Pertnit for new consWction, <br /> Minimum ten(10)working deys after submittal date. Required onsite,ConsVuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&7 dumpster,Site Work Pertnit for subdivisions/large projeds <br /> COMMERCIAL Attach(2)complete sets of Building Plans ptus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit fw new consW cdon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Canstruction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes$1 dumpster.Site Work Pertnit for all new pro)ects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br />� Dlrections: <br /> Fill out appticatlon completely. <br /> Owner 8 Contractor slgn back of application,notarized <br /> If over E2500,a Notice of Commencement is requfred. (A1C upgrades over 5T500) <br /> '^' Agent(for the contractar)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTiNG (copy of contrad required) <br /> Reroofs ff shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />