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v. <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department Date Received _ -T�V <br /> Phone Contact for Permitting ( ) <br /> caaaaaaa aaaa■ <br /> Owners Name Jackie Cook Owner Phone Number 813138-2888 <br /> Owner's Address 1 38018 12th Ave Zephryhills,FL 33542 Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 38018 12th Ave Zephryhills,FL 33542 LOT# 17,18 <br /> SUBDIVISION PARCEL ID# 11-26-21-0010-06000-0180 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM m OTHER Reroof <br /> TYPE OF CONSTRUCTION = BLOCK <br /> 11 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK Reroof 3,A r <br /> BUILDING SIZE I Single family SQ FOOTAGE 2900 HEIGHT <br /> �'t c rcrc crc cr z c r<`crccrc�crcc rcr�rrrc�cc� <br /> =BUILDING $ 9 n O VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $I AMP SERVICE Q 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 <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N I FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address ^ License# <br /> OTHER ( , COMPANY I RoofCrafters Roofing,LLC <br /> SIGNATURE f ddd REGISTERED ION FEE CURREN Y/N <br /> Address 36181 E Lake Rd#209 Palm Harbor,FL 34685 License# CCC1331026 <br /> !!1{l l i l.i i l�i�1 1 1 i i✓1 1 i■1 1>t i l�i 1 1 1�1 1 1 i 1 1 i�a�!!l i f i !!�!O!i[i l i a l l�ti l�1 <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 subdivisionsilarge 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 /> - <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 Attomey(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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />