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e13-78ao020 City of Zephyrhills Permit Application Fax-81378o-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> aaaaaaaa aaaaa <br /> owners Name Freddie Herndon Owner Phone Number 813-355-3350 <br /> Owners Address 5930 9th Street Zephyrhills, FL 33542 Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5930 9th Street Zephyrhills, FL 33542 LOT# <br /> SUBDIVISION PARCEL ID# 11-26-21-0010-00600-0070 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEDUSE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL 0 <br /> DESCRIPTION OF WORK New Shingle Roof wlrearOff. - Shingle-10124-1 <br /> BUILDING SIZE I I SQ FOOTAGE HEIGHT I <br /> Ti <br /> =BUILDING $ 12,586.00 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 l� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N I FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N <br /> Address License# <br /> OTHER IA�� G-OMP�ANY A Bartlett Roofing&Construction Services,LLC <br /> SIGNATURE X I Y/N FEE CURREN I Y/N <br /> Address 384np 3r Ave Zephyrhills,FL 33542 License* ICCC 13319651331965 <br /> ttttt.l[ill [!till!!!!!il tt[lt.tt!!ltititltltlttllllItself <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,Stomml+rater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,She Work Permit for subdivisionsnarge 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,Stomtwater Plana 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 /> Dlreetions: <br /> F01 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$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 />