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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 941 400 9236 <br /> Phone Contact for Permitting <br /> iiEii EEE a[itmm <br /> Owners Name Jose Chaves Owner Phone Number 813 508 8693 <br /> Owners Address 1 4941 Timber Way,Zephyrhills,FL,33542 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 4941 Timber Way,Zephyrhills,FL,33542 LOT# 33 <br /> SUBDIVISION Court Square PARCEL ID# 15-26-21-020D-00000-0330 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL I X I REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK Roof Replacement FL10674 FL25974-Rl FL19979 SO 29 Pitch 5112 <br /> BUILDING SIZE 1 1 Story SO FOOTAGE 1,342 HEIGHT 8 Feet <br /> =BUILDING $9,000 VALUATION OF TOTAL CONSTRUCTION qYJ <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ./' <br /> =GAS XQ ROOFING = SPECIALTY = OTHERIF <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE F REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY Westfall Roofing/Westfall Construction <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address 5413 West Sligh Avenue,Tampa,FL,33634 License# I ccc"'92 <br /> tttltliil[!liit![ittillEti[it[ti[ iitEi.l![itiitlli[Eitti[iiti[tllt <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,Stormwater 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 Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stornwater 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$2600,a Notice of Commencement is required.(A/C upgrades over$7600) <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 />