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s�aaso-oo2o City of Zephyrhills Permit Application 13-780-0021 <br /> Building Department i <br /> ; . (..�-~ � 13 --`�S � <br /> Date Received � Phone Contact for Permitting �"�— � -- ��� <br /> R <br /> i � <br /> Owner'sName PhillipMichaellnc OwnerPhone um er <br /> Owner's Address 6951 G811 BIVd. FL 33542 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 6951 Gall Blvd. FL 33542 LOT# � <br /> SUBDIVISION PARCEL ID# 03-26-21-0010-00100-0011 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK Install new illuminated channels letters on a raceway. Connect to existing electrical <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING $ 1,200.00 VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> OPLUMBING $ � C�j� <br /> � / ✓ <br /> 1 If <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ;� r <br /> BUILDER ;o , ry �I��MPANY UA Si n & Maintenance, LLC <br /> S I G N A T U R E ��/ �� f R E G I S T E R E D Y/ N F E E C U R R E� Y/N <br /> Address 3912 Iston Ave. Ze rhills FL 3 42 License# ES12000904 <br /> ELECTRICIAN f + �- / � �/ " COMPANY UA Sign & Maintenance, LLC <br /> SIGNATURE V � V REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 39126 Alston Ave. Ze h rhills FL 33542 �icense# ES12000904 <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit 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 construction. <br /> . . . . . . . . . . . <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />