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•�ti <br /> E13-78M020 City of Zephyrhills Permit Application Fax-813-7e0-0021 <br /> Building Department <br /> Date Received _Z f6 Phone Contact forPemlitting 813; 713 _ 1313 <br /> TTTT'T'T'TT T <br /> Owners Name Ti th Savid a Owner Phone Number 813-420-1646 1. <br /> Owners AddressE5506 1 8th stOwner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 5506 18th stLOT# <br /> SUBDIVISION I ZEPHYR HILLS PARCEum 11-26-21-0010-14200-0140 <br /> (OBTAINED FROG?PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NELVCONSTRe ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK REROOF EXISTING SHINGLE ROOF WITH METAL RIB <br /> BUILDING SIZE I SO FOOTAGE Z SjQ HEIGHT <br /> =BUILDING S J C 700.00 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ /o- <br /> =MECHANICAL is VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CuRREn Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREI I Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREA Y/N <br /> Addres <br /> OTHER <br /> s �CoIP TLC ROOFING LLC <br /> SIGNATURE - 6 / REGISTERED IXIN I FEE CURREA LXLN <br /> Address 20736 HIGHPO DAD-CITY 33523 Licensers <br /> 111111IIIII1111111.1I11I1191Illlllllrlrlt11111 ➢ 111 ➢ 1111 gill 11111Ilia <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fanny R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormvater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans vd Silt Fence installed, <br /> Sanitary Facilities&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. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500.a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power ofAtiomey(for the ovmer)would be someone with notarized letterfrom owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public madways..needs ROW <br />