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tl <br /> .�, � <br /> �� � <br /> �-� ' $��-��� CityofZephyrhills�PermitApplication Fax-813-780-0021 <br /> � � Building�epartment <br />' �'�£°�� O � ` 813 782 9080 <br /> Phone Contact for P,ermitting <br /> GWners Name Owner Phone Number <br /> OwnersAddress 6516 Brentwood Dr Zephyrhills, Fl 3 542 OwnerPhaneNumber' <br /> Fee Simple Titleholder Name Fee Simple Owner Phone Number <br /> . Fee Slmple TiUeholder Address <br /> JOBADDRESS 6516 Brentwood Dr. Zephyrhills, 1 33542 LOT# � <br /> " SUBOIVISION on PARCELID 04-26-21-0040-00000-0031 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> '�WORK PROPOSED e NEW CONSTFi� ADD/ALT � SIGN Q Q DEMOLISH <br /> X INSTALL REPAIR <br />, �PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAA4E Q STEEL Q <br /> DESCRIP770N OF WORK TEAR OFF EYbS�'S33G RflDF SYS�`�R4 b1ND REPLACE WITH TIMBERLINE HD ROOF <br /> BUILDING SIZE Sp.F.4�AT�,E 3$T�,Q ��}7� � <br /> QBUILDINC�ROOFIN jI VALUA?fJ�JN�F (T7A��ONS7RUCT10N <br /> 6437.5r� <br /> �ELECTRICAL $ AMP SERVICE Q �EtaGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �<�Z �., / <br /> QMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION � �� <br /> QGAS Q R�ff�ING Q SI�CIAL I � OTHER <br /> FINISHED FLOOR ELEVATIONS FLQOD ZONE AREA �YES NO <br /> — - °i C 5C 9 i C i 9 C i 9 i 7 C i 'i L i i 7 i.i , , , a .���. <br /> � BUILDER � �) �y��A,-�_ J �p�p��y JASOli� i5$LiMANN/NEUMANN ROOFING <br /> ' SIGNATURE (,/�• " '� REG� Y 1 id �cvfttten Y/N <br /> Address 30 27 COMMERCE DR, �ZSL� �7S�,2SF*ti3, F�, 3 S'J6 ���ense� CCC1326166 <br /> ELECTRICIAN � CO1N� <br /> SIGNATURE rLr�sz Y J N �cut�En Y/N <br /> Address License# � <br /> PLUMBER COMP Y <br /> SIGNATURE REGI57 RED Y! N FEECURREN Y/N <br /> ,Address License# <br /> MECHANICAL COMP Y <br /> I .SIGNATURE REGIST RED Y/ N FEE CURREN Y/N <br />, Address License# <br /> � OTHER COMP NY <br /> ` SIGNATURE REGIST RED Y/ N FEE CURREN Y/N <br /> - Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllllllllllllllll <br /> � �• ;RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of nergy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requued onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subd�ivisions/large projects <br /> 'COMMERCIAL Altach(3)complete sets of Building Plans plus a Life Safet�Page;(1)set of Energy Forms.R-O-W,Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requ red onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for ali ngw projects.AII commercial requirements must meet compliance <br /> - SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructio <br /> • • • • • i a i i i i i a : i�• • i i i i i i �i�i��i�i <br /> D�rections:• <br />, Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrad s over$7500) <br />' " Agent(for the contractor)or Power of Attomey(for lhe owner)would be s�meone with notarized letter from owner authorizing same <br /> i31fERTHE COUNTER PERMITTING (Front of Application Only) <br /> Rerc+cAS h shingles Sew�rs Service Upgrades A/C Fences(PI USurvey/Footage) <br /> I <br /> Drivc�ways-Alot over Countes if on public roadways..needs ROW � <br />