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813-780-0020 City of Zephyrhills Permit Application Fax-613-780-0021 <br /> Building Department ,L}/,/, <br /> Date Received � '� ;�1\��!`��`� <br /> PhoneContactforPermittin 613 782 __ 9080 � � <br /> Dorothy Baker <br /> Owner's Name Owner Phone Number <br /> Owner'sAddress 37333 PiCkettS Mill Ave. OwnerPhoneNumber <br /> Fee Simple Titleholder Name Same Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS Same � <br /> LOT# <br /> SUBDIVISION S11V2Y' Oaks V1111 2 pARCELID# 03-26-21-0200-00000-0050 <br /> (OBTAINED FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER 00 epair <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIP710N OF WORK Repair roof - TPO/Flat Deck <br /> BUILDING SI SQ FOOTAGE 2�5� HEIGHT �� <br /> BUILDINC�ROOFIN �fl VALUATiUN OF TOTAL CONSTRUCTION <br /> 1350. <br /> QELECTRICAL �� pp�p SERVICE � PROGRESS ENERGY Q W R E C. <br /> QPLUMBING $ � �� <br /> QMECHANICAL $ UALUATION OF MECHANICAL INSTALLATION � ��� <br /> �GAS X� ROOFING � SPECIALTV � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOnD ZONE AREA QYES NO <br /> i- <br /> BUILDER I� I� �/^ C MppNy JASON NEUMANN/NEUMANN ROOFING <br /> SIGNATURE �/ v REGISTERED Y/ N FEE CURREM1 Y/N <br /> Address 30427 COMMERCE DR, SAN ANTONIO, FL 3 576 License# CCC1326166 <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y/N <br /> Address <br /> License# <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREA Y/N <br /> Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> License# <br /> Illllllllllllllllllllillllllllllllllllllllllllltlllllllllllllllllll <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 8 1 dumpster;Site Work Permit for subdrvisionsllarge 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,Conslruction 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 reqwred for all NEW construdion. <br /> Directions: <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 upgredes over 57500) <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 (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter'rf on public roadways.needs ROW <br />