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e13.760- o City of Zephyrhills Permit Application Fair-813-1e0-0021 <br /> 4, B BWMV Dapmhnent <br /> Dab Received Pions Contact for PoRIM r 5 - � Ali <br /> Owners Name [=Mpa, OwnerPhorre Number 813-783-7636 <br /> OwneesAddresa 10860 Lemon Lake Blvd,Orlando,FL 32836 OwnsrPhone Number <br /> Fee Simple Titleholder Name I I Owner Ptrane Number <br /> Fos Simple Titleholder Address <br /> JOBADDREss 16900 Gall Blvd Ze h fhills FL 33542 Lass 0 <br /> SUBDIVISION 'PARcEL tDa 02 26-21-0010-00900-0011 <br /> (MAINEDFloretrRere WIANnoTIM <br /> WORK PROPOSED ® NEW CANSM e ADDIALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEDUSE Q SFR Td Comm Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL = <br /> DESCRIPTION of WORK Re-roof building using Mule-Hide TPO system.67 squares <br /> BWLDINO gue I = SQ FOOTAGE 67t]0 HEIGHT <br /> BUILDING t 110,269.23 vALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING is -1 --14 -���,VV,��QQ)) b <br /> =b1ECHAN M Is VALUATION OF MECHANICAL INSTALLATION ✓` iss <br /> =GAS ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN I FEECURREn I Y/N <br /> Address License <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTaEDI Y1 N FEE CUFOMN <br /> Addrisa Licenses <br /> PWNBER COMPANY <br /> SIGNATURE RemSTERED I Y f N FEE CURREn I Y f N <br /> Address License s <br /> MECHANICAL COMPANY <br /> SIGNATURE M-GASTERED I YIN I FECOME. Y!N <br /> Address Llconse A <br /> OTHER Cpppjy Tumke Roofing Of Florida, Inc. <br /> SIGNATURE RecrstEREn IIYI N FEE CURfth N <br /> Address 5091 Chester Avenue 0105,Jacksonville,FL 32217 1 kanso s CCC1331925 <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach 12)Pict Plans;(2)sets of Building Plana;(1)5et of Energy Forms;R•O-W Pemnitfornew construction. <br /> Minimum ten(10)working days oftersubmittai date. Required onsite,Consbucfion Plans,Stornw ater Plane col SM Fence installed. <br /> Sanitary Facilities 3 I dumpster,Site Work Penna for subdivisionslimp pmjeds <br /> COMMERCIAL Attach(2)Complete sate of Bulkling Plans Plus a Life Safety Page:(1)sat of Energy Farm&R-0-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Cmetru ten Plans.StornvmW Plans w/Slit Fence Installed, <br /> Sanitary Fatties Rt 1 dumpsfer.Site Work PertNt for ell new projects All commerdal requirements must mast compliance <br /> SIGN PERMIT Affect,(2)sets of Enomered Plans. <br /> "PROPERTY SURVEY required for all NEW cormbuction. <br /> ' 1 4.* - - - - -—— 11 i t 1 {111 1111l ' 1 I i 1 ' <br /> Dlrscdotw: <br /> FBI out application completely. <br /> Owner&CAnlraetar algn tack of application,notadLed <br /> N over$2Wa Notice of Commencement Inrequdred. (AfCupgradeaover=TI1100) <br /> " Agent(for the contractor)or Power of AIIomey(for the owner)Mould be someone with notartced letterfrom owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract regcdred) <br /> Remo"Saftles Sewsra Service Upgrades AIC Fences(P1ot/Suney/Footege) <br /> DrIveway"ot over Counter fl on public roadways..meeds ROW <br />