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813-780-0020 City of Zephyrhills Permit Application ^ 13-780- <br /> c Building Department ` <br /> Date Received <br /> g <br /> ✓ Phone Contact for Permitting <br /> Owners Name Nathan <br /> L e e r Owner Phone Number 8 13—3 1 3- ® O S <br /> Owners Address 72-0 1 A S{l S7 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7�o I AS%, S t 1 /� nLOT# <br /> SUBDIVISION PARCELID# a ' �I-0000 - d 2l00 -0000 <br /> (OBTAINED FROM PROPERTY TAX NOTICE( <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM EX OTHER 9— O <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK Tear off+ Re-roof t%s;Ang CertaiA-recd M.d;fICot 8i'tkvnCn Roof Systfwn <br /> BUILDING SIZE SQ FOOTAGE N 40 HEIGHT �� (�I 0 •1� <br /> ZT>< Z-><iTCfCrEi-�FtCCCiT(-i-IC-i-ICL-C-C-L"S-S-L-L-L-;-i-w-ff- �S'TS-><C-CC✓<>«�>«C-�C-C-tZZZ-S-� <br /> UILDING $ 4 G VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 7 J AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY -AI V QY ea- RODE l„ <br /> SIGNATURE op REGISTERED Y/N FEE CURREN Y/N <br /> Address 1082,5 -ravn rotsOW1 Cw License# CC1 p51I <br /> { o'2, <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address I 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 Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> 1112111all11111111111.1E111111LiI11it111111.111111I11111ii141111111IRA <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,Slormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large 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 /> Sanita Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attadfiry(2)5et9';11 Engirieeied"Plans: " <br /> —",,ROPERTY�SURVbYerequired for.all.NEWSconstruction: <br /> Directions: <br /> Fill out application,cpmpletely. t <br /> Owner&Contractdr sign back of application,notarized <br /> If over$2500,a Notice'bfCbtnmencementis required:(AIC upgiides,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 />