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' � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Buiiding Department �i� _L;�l�y�1 n� <br /> 6 l L <br /> Date Received Phone Contact far Pertnitting 479 877 _3499 <br /> Owners Name Radiant Group,LLC Owner Phone Number 813-918-1963 <br /> Owners Address 1320 E 9th Ave,Tampa,FL 33605, Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOB ADDRESS 6512 Gall Blvd LOT# � <br /> SUBDIVISION PARCEL ID# 02 26 21 OOlA 00000 0010 <br /> (OBTAINED FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED e NEW coNSTR e �,ADDlALT X� SIGN Q Q DEMOLISH <br /> INSTALL �REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER Cano ;dis ensers;UST's <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK Installation of a new fuel canopy;installation of(6)dispensers;Installation of(2)UST's;all fuel piping <br /> BUILDING SIZE n/a SQ FOOTAGE 8'200 HEIGHT � <br /> � ; <br /> � �B�IILDING $ � r VALUATION OF TOTAL CONSTRUCTION <br /> —i-\l (� <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. I <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �� ��� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER /����� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � 1��� <br /> BUILDER � COMPANY � ���'�1 (:ZiN����C <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# l.J�.� � <br /> r,� l ' <br /> `/�,5�� � ELECTRICIAN COMPANY I <br /> � v SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> �,p,�� Address License# <br /> Sl�'�`�eJn <br /> (�� �1 PLUMBER COMPANY <br /> �...MK'� SIGNATURE - REGISTERED Y/ N FEE CURRE� Y/N <br /> �� Address License# <br /> � MECHANICAL COMPANY I <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 /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111110 � 111111111111111 � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit 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 subdivisionsAarge projects <br /> i COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit 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 8 1 dumpster.Site Work Permit for all new projects.Ail commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW , <br />