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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 8�3 ) 300 <br /> Phone C tact for Permitting <br /> Owner's Nam JfBEELTR'AM <br /> D D HAYES Owner Phone Number 813-598-6981 <br /> Owner's Addr sF15309 DR ZEPHY LSFL.33542 Owner Phone Number <br /> FeeSimpleTitleh I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5309 'BELTRAM DR ZEPHYHILLS, FL 33542 LOT# 13 <br /> SUBDIVISION ZEPHRY HEIGHTS PARCEL ID# 12-26-21-0030-00300-0130 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM © OTHER PORCH ONLY <br /> TYPE OF CONSTRUCTION ® BLOCK Q FRAME = STEEL = <br /> HOM &GARAGE RE-ROOF:ATLAS SHINGLES,SUMMIT FL16226-R4,CLAT ROOF:91AF 60 MIL TPO W/F NFOLD <br /> DESCRIPTION OF WORK <br /> 1900 HOME&700 SQ FT G RAGE <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ©BUILDING $9§95.00 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE ,j61,�%/ ,JQf��J(/P��ROGGRRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ ',i1�1 . 1 f1 !>" ( !lV <br /> '1 l! 4� �V � J <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION j� D_ a ' ,` a <br /> =GAS ® ROOFING O SPECIALTY = OTHER /`�///,^/�' ,(//] $� e <br /> FINISHED FLOOR ELEVATIONS / FLOOD ZONE AREA =YES NO( /� ' /��/X ow <br /> . <br /> BUILDER COMPANY.�^MATERA ROOFING, INC• • �� � <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address 110 SALEM WATCH PL DOVER,FL 33527 License# CCC1331066 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I YIN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREK <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREn I Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllllllllllilllllllllllllll <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,Stonnwaler 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 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 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 /> • C..; ' C i • t • • . . ait • <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(far 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 />