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' � 813-780.0020 City of Zephyrhills Permit Application Fax-813-760-0021 <br /> Building Department <br /> � � � ' <br /> Date Received 0 d��v <br /> Phone Contact for Permitting <br /> Owners Name Audiology Dist�bution,LLC dba HearUSA pWner Phane Number 5611178-8770 <br /> 10455 Riverside Drive,Palm Beach Gardens,FL 33414 <br /> Owners Address Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 7894 Gall Blvd LOT# � <br /> suBO�ws�or, PARCEL ID# 35-25-21-0130-00000-0030 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � � �{e fl'� V(`O O A <br /> C� �o' � � <br /> BUILDING SIZE SQ FOOTAGE �_ HEIGHT i <br /> QBUILDING $�� ��� VALUATION OF TOTAL CONSTRUCTION S�G���v�",D�O��, <br /> O <br /> QELECTRICAL $ � ��o AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. d a <br /> XOPLUMBING $ � �O� / � ``!C'(�� <br /> =Y `�(%C/�� 7 <br /> / <br /> XQMECHANICAL $ �O� VALUATION OF MECHANICAL INSTALLATION ' <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER ��) Z� G <br /> �:/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � �� <br /> BUILDER / COMPANY L S Y1 �l�Y� <br /> SIGNA RE REGISTERED �Y N FEE CURREN Y/N <br /> Address �� k' � � � License# qC� � (O Z� <br /> ELECTRICIAN COMPANY 1�W IV"�v�D� s2f �O'�'� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# �3� �d70 <br /> PLUMBER COMPANY ..� 'IUIMb�n SCrJi�� � <br /> SIGNATURE REGISTERED % N FEE CUR N Y/N <br /> Address �2 �v � J � StA��Q G License# `_.1�Z�Z5� <br /> MECHANICAL COMPANY %'-�i+' � I Y1 C " <br /> SIGNATURE REGISTERED / N FEE CURREN Y/N <br /> Address � 0 ►�V Z S � M� 33(, License# �M G q � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> Itlllllllllllllltllllllllllllltlllllllllllllllllllllllllllllltlllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new consWction, <br /> Minimum ten(10)working days after su6mittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW conshuction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over Ez500,a Nodce of Commencement Is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power af Attomey(for ihe owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of conVact required) <br /> Reroofs'rfshingles Sewers ServiceUpgrades A1C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if an public roadways..needs ROW <br />