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613-780-0020 City of Zephyrhills Permit Application Fax�13-780-0021 <br /> Building Department <br /> Date Received (Z�5 l 3 <br /> PhoneContactforPertnittin 613 782 9080 <br /> OwnersName WESOLOWSKI ROSE ELLEN 607-226-7603 <br /> Owner Phone Number <br /> Owner'sAddress 5931 FOREST LANE ZEPHYRHILLS, FL <br /> Owner Phone Number <br /> Fee Simple Titleholder Name FEE SIMPLE � <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 5931 FOREST LANE ZEOHYRHILLS, FL 33542 LOT# � <br /> SUBDIVISION FOREST VILLAS 10-26-21-0110-00000-0060 <br /> PARCELID# <br /> (OBT/UNED FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED B NEW coN57R 8 ADDlALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �X SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK TEAR OFF EXISTING ROOF SYSTEM AND REPLACE WITH TIMBERLINE HD ROOF <br /> BUILDING SIZE 1660 <br /> SQ FOOTAGE�� HEIGHT �� <br /> �BUILDINC�ROOFIN <br /> 6643 00 VALUATION Of TOTAL CONSTRUCTION <br /> QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W R.E C <br /> �r. "__'_'. <br /> OPLUMBING �� <br /> QMECHANICAL $ VALUATION OF ME�CHANICAL INSTAL TION //�//� � <br /> � � lJ <br /> �GAS X� ROOF9�lG � SPECIALTY Q OTHE <br /> FINISHED FLOOR ELEVATIONS FLOO�ZONE AREA YES N <br /> BUILDER COMPANY JASON NEUMANN/NEUMANN ROOFING <br /> SIGNATURE R�c�sr�r�o Y! N FEECURReN Y!N <br /> Address 30 27 CONIIhERCE R, SAN ANTONIO, FL 3 576 License# CCC1326166 <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y!N <br /> Address <br /> License# <br /> PLUMBER � COMPANY r- <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREM1 Y/N <br /> Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y 1 N <br /> Address License# �- <br /> tlllllllllllllllliltlilllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bwlding 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 subdivis�ons/large pro�ects <br /> 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. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilrties 8 1 dumpster Ste 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 construction. <br /> Directions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,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(Plot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways.needs ROW <br />