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/ <br /> t' --���`'., - 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 �� <br /> � Building Department <br /> DateReceived phoneConWctforPermitting 813 926 - 6529 <br /> owners Name Patrick and Lee D Furlong,Sr owner Phone Number 315-436-791 � <br /> Owners Address 5136 Summer Hill Drive Owner Phone Number i <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 5136 Summer Hill Drive LOT# 26 <br /> SUBDIVISION Summer Hill PARCEL ID# 12-26-21-0100-00000-0260 <br /> (OBTAINED FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK Full Shin le Roof Re lacement <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING � g�OO OO VALUATION OFTOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING 3 ���/9,��- I-� 'Q[ ��� <br /> .Y l� �L•. <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION �J�,� — �2�(y9. �3 <br /> 1` <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> ���...r:..�� o.;�:... ,...�.... :..a�...r�a �o-•-:-T...r�...r....,�,�,� o..�:......- <br /> BUILDER � COMPANY Git R Done Contracting and Management, In <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <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 /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N <br /> Address 1935 Happy Court;Odessa,FL 33556 License# CCC1328179 , <br /> 1111111111111111111111111111111111111111111111111111111111111111111 , <br /> RESiDENT1AL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Pians,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Lite Safety Page;(1)set of Energy Forms.R-O-W Permit for new constniction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Pians w/Silt Fence installed, <br /> Sanitary Facilities 8 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:• i <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> '• Agent(for the contractor)or Power of Attomey(for the owner)wouid be someone with notarized letter from owner authorizing same ' <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences(PIoUSurveylFootage) I <br /> Driveways-Not over Counter if on public roadways..needs ROW ' <br />