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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 14.7...... 0 6 Building Department / Date Received 1 813 782 1 9080 11-- 111 V ((( Phone Contact for Permitting -- Owner's Name John Miller Owner Phone Number 813 - 782 - 5690 Owner's Address 37443 Blueberry Ct., Zephyrhills, FL 3354 Owner Phone Number Fee Simple Titleholder Name John Miller Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 37443 Blueberry Ct., Zephyrhills, FL 33542 LOT # SUBDIVISION Wedgewood Manor Phase I & II PARCEL ID# 10- 26 -21- 0120- 00000 -0290 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR X ADD /ALT n SIGN n MOVE n DEMOLISH INSTALL REPAIR PROPOSED USE In SFR I I COMM n OTHER I Residential TYPE OF CONSTRUCTION In BLOCK In FRAME n STEEL n OTHER I Re - roof I Tear off existing roof system and replace with GAF /ELK shingle roof system DESCRIPTION OF WORK • BUILDING SIZE SQ FOOTAGE 2106 HEIGHT ............... ........... .......... . ........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ........ . . . . . . . . . . ..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........ . . . . . . . . . . . . ..... . . . . . . . . . . . . . . . . . . . . . . . . .......... n BUILDING $ 8,000.00 VALUATION OF TOTAL CONSTRUCTION n ELECTRICAL $ AMP SERVICE n PROGRESS ENERGY In W.R.E.C( x n PLUMBING $ l y� J�VC� � f MECHANICAL $ �O W \\ J/ I I VALUATION OF MECHANICAL INSTALLATION �_ < • .. n GAS I X I ROOFING n SPECIALTY n OTHER J t t( ( C) Cl- FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES rR , BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y 1 N I FEE CURRENT 1 Y/ N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address / ' t 1 License # OTHER t "`/// AVM L1 1 COMPANY W.A. Neumann Construction SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address :.0427 Commerce Dr., San Antonio, FL 33576 License # CCC1326166 I RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. *"`PROPERTY SURVEY required for all NEW construction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........ . . . . . ....iii . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Irections: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) `` Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (PIot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW