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i <br /> . 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ` Building Department <br /> Date Received 2 f .�7 �1 '7 Ci �-. 1!'x 1 <br /> �J ! ( a U �5 phone Contact for Permitting .7 � L- ! —� 6 �• <br /> � <br /> Owner's Name Peaceful Springs LLC Owner Phone Number 813-779-1900 <br /> owners pddress 37924 Medi�al A►-ts Ct.Zephy�hills�FL.33541 Owner Phone Numher <br /> Fee Simple Titleholder Name Owner Phohe Number <br /> Fee Sfmple Titleholder Address <br /> �oe ewoRess 37924 Medical Arts Ct.Zephyrhilis,FL.33541 LOT# � <br /> i sueoivisioN NN �oiie'hown"Sip 25,Range 21,2.1 miles PARCEL ID�i 34-25-21-0080-00000-0023 <br /> (OBTAINED FROM PROPERTV TAX NOTICE� <br /> WORK PROPOSED e NEW CONS7R e ADD/ALT 0 SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br />� PROPOSED USE Q SFR Q COMM � OTHER <br /> NPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> � <br /> DESCRIPTION OF WORK P'�) � I `.� •3 � � • <br /> BUI�DiNGSIZE ��•�� 4• � SQFOOTAGE `�•��6 HEIGHT 1.66ft. LCGpLutSCR. <br /> Townview Medical Arts Center <br /> $Y29tF!L'iC661Ek5�.Y'YCtt.'FT,OF <br />' �BUILDING � L0T2;SUBJECTT08TOGETHER <br /> VALUATION OF TOTAL CONSTRUCTION WITH EASEMENTAS DESC IN OR <br /> �� <br /> DELECTRICAL � AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> QPLUMBING $ �P`,�a��,��� <br /> a� QQ <br /> OMECHANICAL $ ._ VALUATION OF MECHANICAL INSTALLATION �O � <br /> �� `�(L'�, <br /> QGAS Q ROOFING Q SPECIALIY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> �p�� ^��u;;uuuuur,uuuu�uuuuu� <br /> BUILDER � �' �` COMPANY Rogers Sign Corp., �11C. <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN Nq COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER �A COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> i MECHANICAL Nq COMPANY <br /> SlGNAT.L�P.E P.EGISTEP.E� Y/ N FEE CUoo�t� v/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CLIRRE� Y/N <br /> Address License# <br /> "�Nt�i'Ni Ilff�filflH�YiF�i�#Nl�ir�iHKttttfifHNq�NIIflM v N�IIh'HfHMN i i � ���y�p�p� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buildin�Plans;(�)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after suhmittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;('I)set of Energy Forms.R-O-W Pertnit for new construcGon. <br /> Minimum ten(10)woricing days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities�1 dumpster Site Work Permit for all new projecls.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW wnstruction. <br /> �,'�ilN�k�fHIIN��Iq�iRkllilk6iM�7fIkYIHkWN=11Hklk�HtkWq�q�qfk�tklkq . .. �KKFt�,W . . I%�Il��kqF�f�� <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agenl(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from oumer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counler if on public roadways..needs ROW <br />