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a���eo-oozo City of Zephyrhills Permit Application Fax�13-780-0021 <br /> , . Building Department <br /> Date Received Phane Contact for Pertnitting 813 713 _ 1313 <br /> TI-7Tl—(-i-1 7-T- <br /> Owners Name Owner Phone Number <br /> Owners Address �'1 V E L F Owner Phone Number <br /> Fee Slmple TiOeholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 38921 5th AVE ZEPHYRHILLS FL 33542 LOT# 7 8&9 <br /> SUBDIVISION COLONY COMPANY pARCEL IDt� 11-26-21-001 Q-14500-0070 <br /> (OBTAINED FROM PROPERTY TN(NO710E) <br /> WORK PROPOSED e NEW CONSTR e ADDlALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIP110NOFWORK REROOF EXISTING ROOF WITH NEW GAF SHINGLES <br /> BUIIDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ 4125.00 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING � SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER • _— �� / COMPANY TLC ROOFING LLC <br /> SIGNATURE �+Q�vW/ REGISTERED N FEE cURREN �N <br /> Address 20736 HIGHPOND LN DADE CITY FL 33523 I.icense# CCC1328205 <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# � <br /> MECHANICAL � COMPANY <br /> SIGNATURE RECIstERED Y! N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N �cURREN Y/N <br /> Address License# <br /> IIIIIIIIIYIIIIIIIIIIIIIIIIIIi11111111111111111111111111111111i11111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new canstruction, I <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed, � <br /> Sanitary Facilities&1 dumpster,Site Wodc Pertnit for subdivisions/large projects � <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Sefery Page;(1)set of Energy Forms.R-O-W Pertnit for new consUuction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Sitt 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 construdion. <br /> Directions:' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over a2500,a Notice of Commencement is required. (AIC upgrades over E7500) <br /> " Agent(for the contractor)or Power of Attomey(for lhe owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of conVact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />