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�= <br /> ,, � 813��� City of Zephyrhills �ermit Application Fax-813-780-0021 <br /> Building D partment <br /> , � �ate Received g'ZZ 1 ! phone Contact for Pe�itting 813 782 9080 <br /> OwnersName Baile Patricia A OwnerPhoneNumber <br /> OwnersAddress 6514 Brentwood Dr. Zephyrhills, F1 335420wnerPhoneNumber <br /> Fee Sim Ie Titlehoider Name Fee Simple <br /> . P Owner Phone Number <br /> Fee Simple TiUeholder Address � <br /> JOB ADDRESS 6514 Brentwood Dr. Sa° "- — , F�L 33542 LOT# � <br /> SUBDIVISION pn PARCEL ID# <br /> I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> ��. WORK PROPOSED B NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> X INSTALL REPAIR <br /> ' •''PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAlV)E Q S7EEL Q <br /> DESCRIPTION OF WORK TEAR OFF Lr�"iS'�'i3TFG HrJDF SYST�M ADID REPLACE Y7ITH TIMHERLINE HD ROOF <br /> � BUILDING SIZE ��RpD4�'E3 F� yp(�,p�- � <br /> ��� <br /> QBUILDING�ROOFIN � �,�2U13?101NmF OTALCONS7RUCTION <br /> 6437.5(3 � <br /> QELECTRICAL $ AMP�RVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � � <br /> QMECHANICAL $ VALUATION OF ECHANICAL INSYALLATION �� <br /> � <br /> �GAS XQ ROa:�1MG Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO <br /> � i� '�i '� r ���i�'� <br /> BUILDER �� /7'J __ Cp�� JA501T YS�LTP7ANN/NEUMADIN ROOFING <br /> SIGNATURE ���� �V Y/M tgcuw�En Y/N <br /> Address 3 427 COMMERCE DR, �� F�,'S7�Lt3, �a. 576 License# CCC1326166 <br /> ELECTRICIAN �,p?,�p y <br /> - SIGNATURE �t�c,�s Y 1 N FEE CURREN Y/N <br /> Address License# <br /> � �PLUMBER COMP iNY <br /> 'SIGNATURE REGIST ED Y/ N FEE CURREN Y/N <br /> , Address License# <br /> MECHANICAL COMP NY <br /> .. 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 /> 1111111111111IIIIIIIIIIIIIIIIIIIIIIIIItllllllllltlt1111111111111111 <br /> RESIDENTIAL Attach(2j Plot Plans;(2)sets of Building Plans;(1)sel of ergy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subd visionsAarge projects <br /> . COMMERCIAL Attach(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 submiltal date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Sile Work Permit for all nG�w projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructio�. <br /> — .r. <br /> . D�rections:. . . . . . . . . . . . . . . . . . . . . . � <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is reqwred. (AJC upgradqs over$7500) <br /> " Agent(for the conlractor)or Power of Attomey(for the owner)would be s�meone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Onty) <br /> A2eroofs if shingles Sewers Service Upgrades A/C Fences(PI USurveylFootage) <br /> Drim�x*ays?dot over Counter'rf an public roadways..needs ROW <br />