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813-780-0020 City of Zephyrhills Permit Application Fax-B7 3-7 80-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 813 713 — 1313 <br /> 1a:111acas[ a.aaaa <br /> Owners Name CITY OF ZEPHYRHILLS Owner Phone Number 813-780-0020 <br /> Owners Address 5335 8TH ST Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 39320 B AVENUE LOT# <br /> SUBDIVISION PARCEL iDp 13-26-21-0000-00100-0011 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER REROOF <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK REROOF 4 SQ OF TPO <br /> BUILDING SIZE I I SO FOOTAGE HEIGHT <br /> =BUILDING $2000.00 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ � p <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I{// <br /> =GAS 0. ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY = <br /> SIGNATURE REGrSTERED Y/N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERm Y/N FEE CURREN LILN <br /> Address License# <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 License ft <br /> OTHER COMPANY ACTION ROOFING&ALUMINUM LLC <br /> SIGNATURE REGISTERED /N FEE CURREN /N <br /> Address 25 CASS R E HYRHILLS FL License# FRC 29027733 <br /> a.a a a a a.a 1_2_1_1 a a.a',a a a.e a s a_e a.a.a a_a a_a a a.a.a.a_a_a a a a i a a a.a.a,a.a.a.a.a a s 9,11111114 9.111.a a.a.a a.a as <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,Stermwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL AOaeh(2)complete sets of Building Plans plus a Life Safely 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,Stomlwater 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(PlotSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />