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� �, <br /> : s��3asQ-oo2o City of Zephyrhills Permit Application <br /> Fax-813-780-0021 <br /> Building Department <br /> Date Receiv�ed � ' Z�' � � Phone Contact for Permitting 727 573 _ 7757 <br /> � � � � � �i � � � � � � � <br /> Owner's N Ime of the S Owner Phone Number 501-978-2223 <br /> Owner's Address PO Box 8811 O , ' Owner Phone Number <br /> Fee Simple Titleholder Name irst Community Bank of Ameri Owner Phone Number <br /> II <br /> I <br /> Fee simp�i Titleholder Address 100 5th St. S St Petersburg, FL 33701 <br /> JOB ADDRESS 7435 Gall Blvd LOT# � <br /> suBoivisi�ON Zephyrhills Commons PARCEL ID# 34-25-21-0160-00000-0040 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Qx � DEMOLISH <br /> � e INSTALL REPAIR <br /> PROPOSEIp USE Q SFR � COMM 0 OTHER <br /> TYPE OF�ONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> II <br /> DESCRIPl70N OF WORK Re lace Electronic Messa e Center in monument sign. Hook u to existin ower. <br /> � <br /> BUILDING�SIZE SQ FOOTAGE� HEIGHT <br /> �I UILDING $ 1195.00 VALUATION OF TOTAL CONSTRUCTION � <br /> � <br /> Q�LECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> OPLUMBING $ � 2 ��/� <br /> Q ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ���� <br /> l� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED�FLOOR ELE'�/ATIONS FLOOD ZONE AREA DYES NO ��� ` `� ' <br /> p l <br /> �, u <br /> I ' . �� . . . . . . . . . . . • • . . <br /> BUILDERII ` : �J ( COMPANY �M���S c� � •�. <br /> SIGNATURE � REGISTERED Y/ N EE RRE� 1 Y/N <br /> Addr'�ss 1�—� .l, �r�y�V License# ^ � �dd 7j <br /> ELECTRI�IAN �I..C �COMPANY U�� S� U L�� C� <br /> SIGNATU�E �E� REGISTERED Y/ N FEE CUR Y/N <br /> Address License# <br /> �1 <br /> PLUMBER COMPANY <br /> SIGNATUI�E REGISTERED Y/ N FEE CURRE� Y/N <br /> - Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Add�ess License# <br /> OTHER I COMPANY <br /> SIGNATU, E REGISTERED Y/ N FEE CURRE� Y/N <br /> Add IIess License# <br /> Illlilllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll <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(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> iMinimum 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 PE�MIT Attach(2)sets of Engineered Plans. <br /> "•PROPERTY SURVEY required for all NEW construction. <br /> . . . : : : : : : : : : : : G—:..r t <br /> Direction's• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> '* Age i t(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER TF�E COUNTER PERMITTING (copy of contract required) <br /> Reroofs i II shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> I <br /> --� � <br />