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813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Rdcelved Phone Contact for Permitting 813 485 _ 4440 <br /> Owner's Name Sarah Britt Owner Phone Number 813-312-3464 <br /> Owner's Address 1 5131 22nd Street,Zephyrhills,FL 33542 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5131 22nd Street,Zephyrhills,FL 33542 LOT# <br /> SUBDIVISION Pinecrest PARCEL ID# 12-26.21-0000-04400-0070 <br /> (OBTAINED FROM PROPERTY TAX NOTICE( <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM =X OTHER I REROOF <br /> TYPE OF CONSTRUCTION = BLOCK Q F.RAME = STEEL = <br /> Reroof slope reroo'7:12&3:12 pitch,50 Squares CertainTeed Shingles FL5444-Rl5;APO Peel&Stick <br /> DESCRIPTION OF WORK Undeda ent FL 25974.5 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =X BUILDING $ 15,785 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> i <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address ILLiicceenssee#/ '^t <br /> OTHER COMPANY h 1"l��>Li Y�1/f'�'7 v1.f�ST• AV714/1, <br /> SIGNATURE j REGISTERED( Y/ N FEE CURREN/ I�Y/N ,L <br /> Address L� r✓(/tl Z' t D G r JJ License# (ivV��✓�"1l <br /> 111111111111111111111 1111111111111111 1111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionstlarge 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,Stormwater Plans w/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. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from 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 roadways..needs ROW <br />