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1 <br /> s�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 I� <br /> Building DepaAment l 1 0.���� • 0 0.��0� • <br /> �—\ d•�` <br /> ~ Date Received Phone Contact for Permitting o'� ( 1 � T� ZS v <br /> � � � � � � � � � � � I � � 1 � � 1 � � � � � � <br /> Owners Name Florida Medical Clinic pWner Phone Number 813-780-6693 <br /> owners addre55 38135 Market Square,Zephyrhills FL 33542 Owner Phone Number <br /> Fee Simple Titleholder Name Florida Medical Clinic Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 38135 Market Square,Zephyrhills FL 33542 �or# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R e ADD/ALT 0 SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> I TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK Channel Letter Sign with LEDs-Red face �, n <br /> (� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �. <br /> � V <br /> �BUILD[NG $ VALUNTION OF TOTAL CONSTRUCTION �N <br /> I ���'�� ^� <br /> �nl� <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �J <br /> QPLUMBING $ ��V"�� �\ "��� ��C <br /> �� �.(y <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �l � <br /> i � � �� <br /> Q G, � �\ i <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> `1-o- <br /> FINISHED FLOOR EL ONS FLOOD ZONE AREA DYES NO � V <br /> i r. <br />' �V <br />' BUILDER � COMPANY �� <br /> SIGNATURE c REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# ��'(��/� <br /> ELECTRICIAN COMPANY �� <br /> I SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N /Y7 <br /> I �/�v, <br /> ilAddress License# bF' <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 Li�ase� <br /> OTHER � COMPANY Precision Digital Services,Inc. <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 2726 W.Waters Ave.Tampa,FL 33614 License# Not Required <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIl1111t111111111111I11111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construcUon, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucGon Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safery Page;(1)set of Ene�gy Forms.R-O-W Permit for new consWction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsUucGon Plans,Stortnwater Plans w/Siit Fence instalied, <br /> Sanitary Faciiities 81 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 construclion. <br /> _ •-'• • • �l�i i 0 1 ➢ hi 4-0�5 i-f 1 i 7 1 i-f {-1-i i-i-{ i-7 ' S-d 9 F-7 S-i t-1 ' '°1-i ' FI ' <br /> Directions:• <br /> Fill out application completely. <br /> Owner 8 Conlractor sign back of applicaGon,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Age�t(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of conVact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter'rf on pubiic roadways..needs ROW <br />