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Feb 12 20,07:28p Residential Roofing Depot 8634502071 PA <br /> 8113-780-0020 City of Zephyrhills Permit Application <br /> Building Departawt <br /> Ono Received Pth�wo ContrallorPermttling JIM )4-j-&I OZ.0 <br /> a I I 14 a a 4� .. — one I <br /> Owner's Name M0r"—xkk---,1 L�� Owner Phone Number <br /> OwnarsAddresa <l 26L,9 6D 1 <br /> .:�! Owner P,...Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> J00 ADDRP45 -7e Ck-'Iti,V- IS 3- -S47- I LOT# [ ......�] <br /> SUBOMSION PARCELID41 12--240-2-t -WO -CC3M <br /> I0IITAIN12D M11.IROPERTV TAX WnCEI <br /> WORK PROPOSED IM 10M.r--j ADOIALT SIGN 0 = DEMOLISH <br /> El INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM <br /> TYPE OF CONSTRUCTION y= BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK 504LAa 1F7,Aa-(L%v HCH6 Loii:TV AF401 oil-it <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> CIFICcc]VIIEW1171L XXX�Crvl <br /> F7BUILDING Is VALUATICM OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY F--j W.R.E.C. <br /> =PL1JmBI.-4G Is <br /> =MECHANICAL (S~4 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS, z ROOFING SPECIALTY = OTHER ILI;5 <br /> FINISHED FLOOR ELEVATIONS - FLOOD ZONE AREA =YES NO <br /> If 4 111 Ill!a 9 0 9 ff 9 4 0#*�nii 0 It <br /> COMPANY BUILDER SIGNATURE RESISTIMED YIN Address F License <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YrN FEE OURRM Y 7—N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE I FEGMTERED t YIN FEE CURREN X/NN <br /> Address Licensa4 <br /> MECHANICAL COMPANY <br /> SIGNATURE f J RJEWSIERED I YIN FM UURREN <br /> Address <br /> OTHER COMPANY eACJ a0R.� C <br /> SIGNATURE REGSTEAED ICY-fN I FEECURREN <br /> Address F4j:; License it <br /> RESIDENTIAL Attach(2)PIDI Flom:(2)sets of Building Plans;(1)seta`Energy Forms;R-O-W Permit for new construction, <br /> Minknum ten(10)warldrg days after submittal date.Required ansite,Construction Plans,StormwalorPlarts wl Silt Fence instaffec, <br /> Sanitary Fadillies&I dumpster,Site Work Permit for subdivisionsilarge projects <br /> COMMERCIAL Attach(2)complete set cf Building Plans plis a We Safety Page;(1)set of Energy Forms.R-O-W Permit for now construction, <br /> Minimum ten(10)working days after submittal date.Raqjlred onsite,Construction:Plans,Stormwaler Mans w/Slit Fence installed, <br /> Sanitary Facilities&1 du mpater.Site Work Permit for edi new prcieds.All comme Mat requ rements must meat oDmplis nce <br /> SIGN PERM Atach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY reroted for at NEW consl[ruction, <br /> F11 out application ccmplately, <br /> Owner&Contractor sign back of application,notarized <br /> If ever$25M,a Notice of Commencement is required.JAIC upgrades over$7500) <br /> Agent(for the coRtracter)or Power of Attorney(for the corner)would be someone with notarLzed letterflun owner autnodring sarne <br /> OVER THE COUNTER PERMrMNG (copy of contract required) <br /> Remors 11'shingles sewers Somice Upgrades AtC 7-ances(P"Survey!Foolage) <br /> Driveways-Not crier Counter If or public roadways..needs ROW <br />