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a�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ` ' Building Department <br /> Date Received Phone Contact for Permittin 727 573 _ 7757 <br /> � � � � i � � � � � � � � <br /> Owner's Name Lewenson Properties LLC Owner Phone Number 813-885-3937 <br /> Owner's Address 5607 Johns Rd Tampa, FL 33634 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 6844 Gall Blvd LOT# � <br /> Z phyrhills Colony Company ands 02-26-21-0010-00900-0010 <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN �x � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL Q <br /> � . vation. <br /> DESCRIPTION OF WORK H ok both u to existin ower. �� �3�� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> x�BUILDING $ 5320.00 VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ i000.00 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � <br />, <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ` �� <br /> QGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOO LE ATIONS FLOOD ZONE AREA QYES NO <br /> \ � I�J <br /> BUILDER ,�Q1 �COMPANY Thomas Si n &Awnin CO. � ' <br /> SIGNATURE — � REGISTERED Y/ N FEE CURRE� Y/N <br /> address 5 1 Ave N Clearwater, FL 3376 ES0000083 ` <br /> License# <br /> ELECTRICIAN ��� COMPANY Thomas Sign &Awning Co. <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 590 ve N Clearwater, FL 33762 License# ES0000083 <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 /> IIIIIIIIIIIIt1111111111I11I1111111111111111111111111111111111I1tt11 <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 /> 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 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 /> . . <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 Attorney(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 />