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s�a-�so-oo2o City of Zephyrhills Permit Application Far.-813-780-0021 <br /> Building Department <br /> Date Received 813 782 9080 <br /> Phane Contact for Permittin <br /> Owner'sName CLAGUE, MARYHELEN OwnerPhoneNumber 613-779-2335 <br /> Owner'sAddress 37402 DERBYSHIRE DR, ZEPHYRHILLS,FL3 542 OwnerPhoneNumber �-� <br /> Fee Simple Titleholder Name S�E Owner Phone Number <br /> Fee Simple Titleholder Address -� <br /> JOBADDRESS 37402 DERBYSHIRE DR, ZEPHYRHILLS, FL 33542 LOT# 104 <br /> SUBDIVISION WEDGEWOOD MANOR PH I&I pARCELID# 10-26-21-00120-00000-1040 <br /> (OB7AINED FROM PROPERTV TAX NO710E) <br /> WORK PROPOSED e New CoN57R e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK TEAR OFF EXISTING ROOF SYSTEM AND REPLACE WITH TIMBERLINE HD ROOF <br /> BUILDING SIZE SQ FOOTAGE 1794 HEIGHT � <br /> QBUILDING�ROOFIN <br /> 7500.00 VALUATION OF TOTAL CONSTRUCTION - <br /> ..-�„` <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ERGY � W.R E.C� <br /> QPLUMBING $ i� <br /> V � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATI N � <br /> QGAS XQ ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY JASON NEUMANN/NEUMANN ROOFING <br /> SIGNATURE REGISTERED Y/ N FEE CURREM1 Y/N <br /> Address 3042 NII�IERCE DR, SAN ANTONIO, FL 3 576 License# CCC1326166 -� <br /> ELECTRICIAN COM PANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �-� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREM1 Y/N <br /> Address License# �� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/N <br /> Address License i! <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREM1 Y/N <br /> Address License# <br /> Illllllllllllllllllllllllllllllllllllllltllllllllllllllllllllllllll <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 subdrvisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Lrfe 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 8 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 /> Dvections:• <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is required. (A/C upgrades over 57500] <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 (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />