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ais-�so-oozo City of Zephyrhills Permit Application Fax-sisaaaoozi <br /> Building Department <br /> I DateReceived 9 � phoneConWctforPermitting G� 3 � 1.� <br /> � Silverado CDD 321-263-0132 <br /> Owners Name Owner Phone Number <br /> Owners Address 1060 Maitland Ctr Commons,Ste 340,Maitland FL 327 1 Owner Phone Number <br /> Fee Simple Titleholder Name Dune FL Land I Sub LLC Owner Phone Number <br /> Fee Simple Titleholder Address c/o Hawk Management Company,2502 N.Rocky Point Dr.,Suite 1050,Tampa,FL 33607 <br /> 41 i�2��- �l �A�V /tlLft � � <br /> JOBADDRESS � � LOT# <br /> SUBDIVISION Silverado pARCELID# � � �r��'� �O� O��D�' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) �D t� <br /> WORK PROPOSED Xe NEW CONSfR e ADD/ALT 0 SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR 0 COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME � STEEL Q <br /> DESCRIPTION OF WORK Lift Station Electrical S� {�(,� �� ��4v�Qy� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> XQELECTRICAL $792 p� AMP SERVICE 0 PROGRESS ENERGY XQ W.R.E.C. / � <br /> QPLUMBING $ � ��� ✓ <br /> D� �vn%-�-c� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � CD/� �� ���� <br /> �� <br /> 3� �e �' e,�,� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER n � <br /> r � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER � COMPANY � i <br /> SIGNATURE REGISTERED Y/ N FEE CURREp Y/N I <br /> Address License# � <br /> ELECTRICIAN / ' � t COMPANY The Kearney Companies,LLC ; <br /> SIGNATURE � • REGISTERED Y N FEECURRE� Y N <br /> Address �9625 Wes Kearney Way,Riverview,FL 33578 License# <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 /> IIIIIIIIIIIIItlllltlllllllllllllllllltlllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)se[of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction 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 Buiiding Plans plus a Life Safety Page;(1)set of Energy Fomts.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 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 construction. <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 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 />