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sfa-zea-oazo Cify of Zephyrhills Permit Applicatian �'�$��-7e °2� <br /> Bs�i4d[ng Depaztment <br /> i pate Recelved Phone Contact for Pertniitinp — <br /> � �,.�._�..r.;...� � �. .i—�...i_���.lf <br /> Owners Name Jose/Juan Cont�eras Owner Fhona Numher ���'—'' r ' ��p� <br /> Civrner's Addreas 33330 Tammy Lane Zephyrhii{s,FL Owne�Phone Number I <br /> Fee Simple Titleholder Nama Owner Phone Number <br /> I <br /> Fee S3mple Titlehoidei Address <br /> JOB ApDRESS 38529 11 th Ave Zephyrhilis, FL Lo:# ��� <br /> suaoiv�sioN C� � pnac��.tn# '►1-26-21-0010-053Q4-OQ9Q <br /> (a83AiM£D FROM PftOPEt{TY TA%NOTiCE'� <br /> WORK PROPOSEp e NEW CONSTR 8 ADDlAL7 � SIGN Q � DEMQIl5H <br /> iNSTALI REPAIR <br /> PROPpSEQ USE Q SFf2 Q COMM � OTHER <br /> TYPE pF Cd►3STRUC710N Q BLOGK Q FRAME � STEEL Q <br /> DE5CRIPTiON{3F WpRK ����'$e�Nng antl replace with TAMKO dimensionai Sfiiagtea(FLi9355j over synthetic shield(PLi4884.t)76SQ 4N2 Pitch <br /> BUlLDING 91ZE � � SQ FOOTAGE C„� HEIGNT �� <br /> �BUILD(NG � f}f�� � VALUATiON OF TOTAL CONSTRUCTtON <br /> UV <br /> QELECTRICAL [$ -� AMP SERVICE Q PROGRESS�NER6Y C] W.R.E. . <br /> � <br /> I� QMECHAN CAL � � VALUAT1pN OF MECN,4NIGAL IN$TAS..S.ATlON ��� �� � <br /> � <br /> QGAS Q ROOFft1G Q SPECIAI.TY � OTkiER <br /> FiNiSF{Et}FtOOR EtEVATfC1t3S � FLO00 ZONE AREA �]YES NO <br /> � <br /> SUIt,DER � COMPANY <br /> SIGNATURE REGISTERE� Y I N fEE CURRE(i Y/N <br /> Address License# � <br /> EIECTWCiAN � � COMPANY <br /> SIGNATURE REGISTEREO Y I N FEE CURREA Y/N <br /> Adtlress l;censex �_,_ <br /> � PLtSM8ER �� COAAPANY <br /> G <br /> SIGNATtIRE REGISTERE� Y/ N fE£CURREk X i N <br /> ` Address Ucense# �� <br /> I <br /> MECHAH1CAl � � COMPANY <br /> SiGNATURE REGISTERED Y( N FEE CURRER Y 1 N I <br /> � <br /> Address ,_,�� License# � <br /> � OTHER � /� COMPANY TB Roofing&Construction LLC <br /> SiGNATURE l^2fLIZ� REGISTERED N fEE CURREh <br /> Addross 6426126th Ave Largo,FL �icense# CCC13301$9 <br /> 1 ! litili ! ( f11111i ! lIIltlillitlliitt1II11I11II71111tllllltll ! ! 11l111 <br /> RESIdENTiAt AttBch(2}Plot Plans;(2j sets ot Building Pians;(1)set of Energy Forms;R-O-W PQtmit tar new cnnskuctinn, <br /> Ntinimum ten(10)working days after submiktel date. Ftequired onsita.Constructio�Plans,Stormwater Plsns wl Siri Fence insta8ed, <br /> Sanifary Facilities&1 dumpsfer:Site Work pennit foraubdivisionsAarge pro}ects <br /> COMMERCIAL Attacfi(2}compiete sets of Buiiding Plans plus a life Satafy Page;{l�set ot Energy forms.R-4-W Permit!ar new constntctian, <br /> Minimum ten(ttt)working days after submittal date, f?equired Onsite,Gonstruction Ptans,Stormwater Pians wi Sitt Fence instaped. <br /> Sanitary Facilities&1 dumpster.Sito Work Permit for a!1 new pmjecEs,Aii cammerciat requirements must meet compiiance <br /> SiGN PERMIT Attach{2)sets of Engineered Plans. <br /> '""PROPERTY SURVEY required for at1 NEW aonstructtop. <br /> pirections: <br /> � Ei11 out applicatioti camplatety. <br /> Ommer&Cnnttador sig�back tsf eppiication,noterixed <br /> tt aver S25II4,a Notlee af Commencement is required. (ArC upgrades over 57500) <br /> � "' Agent(far the contraoto�)ar Power af Atiomey(tnr tha owner)wmu4d be sameone with�otatized lettar hom owner autriorv.ing same <br /> OYER THE COUNTER PEftMiTTING {wpy of contracE required) <br /> � Reroots i#shingias Sewars Service Upgrades AJG Fences(PIoVSunreylFoatage) <br /> Driveways-Not over Countor if on pub(ic roadways..needs ROW <br />