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a�aaeo-oozo City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> Building Department <br /> , DateTReceived PhoneContactforPertnitting _941-955-7010 <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> Owners Name �Nilliam Christie Owner Phone Number 352-668-4946 <br /> owners Address 12204 Wood Lands Cir., DBde Clty, FL 33525 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titlehoider Address <br /> JOBADDRESS 5214 Gall Blvd Zephyrhills, FL LOT# � <br /> SUBDIVISION PARCEL ID# �1-26-21-0010-16600-0250 <br /> (OBTAINED FROM PROPERTY TA%NOTICE� <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL 0 <br /> DESCRIPTION OF WORK Install}1;,awning v�ri�lett�r+ag <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $3,190.00 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ `��� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �M <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License it <br /> ELECTRICIAN COM PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA' Y/N <br /> Address License# <br /> M ECHANICAL CO M PANY <br /> SIGNATURE ISTERED Y/ N FEE CURRE� Y/N <br /> Address i icense <br /> ���� �o�PA t1Ni i�D S�►�i�=5 A�u�����, <br /> GNA9'I1R EGISTERED EE CURRE� Y/N <br /> Address 1935 18th Street Sarasota,FL 34234 �icense# CBC1255749 <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111 <br /> RESIDENTIAL Allach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new conslruclion, <br /> Minimum ten(10)working days afler submittal dale. Required onsite,Construclion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum len(10)working days aiter submiltal date. Required onsite,Conslruction Plans,Slormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpsler Sile Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Allach(2)sels of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill oul application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgredes over$7500) <br /> `• Agenl(for the conlractor)or Power of Attorney(for lhe owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITIING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counler i(on public roadways..needs ROW <br />