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, ' 813-780-0020 Cily of Zephyrhills Permit Application Fax=613-780-0021 <br /> Bultding Deparlment <br /> Uato Recelved 2�Zt �f Phone Contact for Permittiny `��� 366 1564 <br /> �rr� e i T-�T - ---T�-i7 <br /> owner's Neme ZEPHYR II LI.0 <br /> O�vner Phone Number <br /> � <br /> 7162 READING ROA.D 9t73D <br /> Ownel's Address Owner Plione Number <br /> Fea Simpte Tllleholder Name SAME Owner Phone Number <br /> Fee Simple TllleholderAddress <br /> JOB ADDRESS 5931 GALL BLVD ZEPHYRHILLS FL 33542 � <br /> �ors <br /> sueoiv�sroN PARCELIDI� 10-26-21-0020-00000-D050 <br /> (087AINED FROM PAOPERTY TA%NOTICE) <br /> WORK PF20POSED NEW CONSTft A�DIALT � SIGN Q � DEMpLISH <br /> 1NSTALL 8 REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � 6LOCK Q FRAME � STEEL Q <br /> �E5CRIPTION OF WORK B[�I�Di�VG 5II£-i.L ALT�RATTONS FOR TENANT SPAC� '��'i7 �f��� <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT � 25j�7 <br /> Q BUILDING $ 50,000 VALUATION OF TOTAL CONSTRIJCTION <br /> �ELECTRICAL 5 LOO;OOO AMP SERVICE Q PROGRESS ENERGY � W.R.EC. <br /> PLUIIABING ( �� '� <br /> C7 s as,000 � �� (� '�$�(�n�7 �'s/A" <br /> QMECHANICAL � 125,000 VALUATION OF MECHANICAL INSTALLATION �{.I�S � � <br /> � � ��'..�.� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER �C�� � �l�Y''�� <br /> FINISHED FLOOR ELEVATIO S � FLOOD ZONE AREA QYES NO � _9�/C/O� � 6 tJjV <br /> ,�� �.. <br /> i BUILDER � �+t,�.,� � cori�at�v CW HAYES CONSTRUCTION CO <br /> SlGNATURE % �ivJ�— REaisrEaEo Y!N F�cwtrtEn Y/N <br /> Address .821 27 5 CGC034855 <br /> License if <br /> ELECTRICIAN TBD 4�'� , L COMPpNY <br /> SIGNATURE `1��✓`�`� qEGisr�o Y/N FEE CURt�cn Y/N <br /> Address <br /> Ltcense$ <br /> F'LUM6ER TBD �f�l Ij!���COMPAh1Y <br /> SIGNATURE ��j V RE615iERE0 Y/N FEECURREA YI.N <br /> Address <br /> ��, -, Llcense# <br /> •i ECHANICAL '�OCOMPANY 1 �l OC' L f i�az�y�r. L'r �' <br /> �'1n IGNATURE � � <br /> J/ / aE6�5iEliEo Y J. -' FEE Cuaaen Y i N <br /> \� `YAddress L � ���'�✓� �����,-�• 1 'y�S')� License# L���G��/��� <br /> � OTHER COMPANY <br /> SIGNATUftE rtEctsiErteo Y I N �e cuRaEn Y/N <br /> Address License iF <br /> �.i � i � � ii � � eii � s � � ii � siii � i � ie � is � � � � � i � � � � i � i �ii � i � � � � i� e � � � � � i � � ii <br /> RESIDENTIAL Attach(2)Ptot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new construclion, <br /> Minimum ten(10)working days a11er submRtai dete. Required onsite,CanstruMion Pians,Stormwater Plans wl S➢t Fence inslalted, <br /> Santtary Facililies&1 dumpsler;Slle Work Pertrilt for subdivisionsllarge proJects <br /> CDMMERCIAL Attach(2)camplefe sets of Bulding P�ans ptus a Life Safety Page;(1)set of Energy Farms.R-O-W Pertnit for new conslruction. <br /> Minimum ten(10)Working'days after submiltal data. Required onsite,Conslruction Plans,Stormwaler Plans w/SiICFence inslalled, <br /> Sanllary Facli(Ies$1 dumpsler.SRe Work'Pertnr�lor all new projecls.All cammerciat requirements must meat compGance <br /> SIGN PERMIT Atlach(2)sels of Englneered Plans. <br /> •••"PROPERTY SURVEY requfred for all NEW constiudion. <br /> DlrecUons: <br /> Fill out appficaUon completely. <br /> Ovrner&Contracto�slgn beck of applicaGon,nolar¢ed <br /> IF over$2600,a Notice of Commencement Is required. (A/C upgrades over 57600) <br /> " Agent(for the conlraclor)or Power of Attorney(ior lhe ovmer)would be someone wilh nolarized letier from owner aulhorizing same <br /> OVER THE COUNTER PERfi71TTING (copy of contrac!required) <br /> Reroofs if sh(ngles Sewers Service Up�rades A!C Fences(PIoUSurvey/Foatage) <br /> Driveways•Nol over Counler if on pubGc roadways..needs ROW <br /> I <br />