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s��-�eo-oozo City of Zephyrhills Permit Appl' on �� 0021 I <br /> ' Building Department , <br /> i <br /> Date Received � �� 8 9 7 9 O l 11 <br /> Phone Contact for Permltti <br /> Lewenson Pro ertiea ( <br /> Owners Name p Owner Pho um6eL 813-8 8 - � <br /> Owners Address 5 6 0 7 Johns Rd. Tam a Fl 3 3 6 3 4 Owner Phone Number � <br /> Fee Stmple Titlehoider Name Owner Phone Number <br /> Fee Simple Tltleholder Address <br /> JOBADDRESS 6844 Gall Rd Zephyrhills Fl. 33542 �oT# � <br /> SUBDIviSION � PARCELI� 02-26-21-0010-00900-0010 <br /> (OBTAINED FROM PROPERTY TAl(NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> B INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTIONOFWORK Installation of monument sign with Electronic Message Ceri er <br /> BUILDING SIZE SQ FOOTAGE 97.16 HEIGHT 12� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRES�E��� W.R.E.C. <br /> QPLUMBING $ � / ����`'�P/'�' <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �V�✓ �. / <br /> � . � �j �y � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � ���; V� <br /> � �� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO EA QYE i NO �� � � �,(Qp/ <br /> Iv ` `�� <br /> i <br /> BUILDER ��/��,1 OMPANY E � ��G,� <br /> SIGNATURE s C7�C REOISTERED Y/ N FEE CURRE� Y N � , I <br /> Address License# ��"- � <br /> �' , \ <br /> . �� ELECTRICIAN � A Y �J�-�l <br /> � SIGNATURE c R D Y/ N FEE CURrtEn Y/N r <br /> (� i <br /> � C r,.,IY Address License# <br /> .]�1 <br /> � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL COMPANY � <br /> SIGNATURE REOISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllll <br /> RESIDENTIAL Aflach(2)Plot Plens;(2)sets of Bullding Plens;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)workinp days after submittal date. Required onsite,Constructlon Plana,Stormwater Plans w/S(It Fence installed, <br /> Sanitery Facllities&1 dumpster;Site Work Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus e Life Safety Page;(1)set of EnerAy Fortna.R-O-W Pertnit for new consVuction. j;;',. <br /> Minimum ten(10)working days after submittel date. Requlred onslte,Constnictfon Plans,Stortnwater Plans w/Silt Fence installed, - <br /> Sanitary Facllltles 81 dumpster.Site Work Pertn(t for all new projeds.All commercial requlrements must meet compllance " <br /> SIGN PERMIT Attach(2)sets of Engineered Plens. <br /> ""PROPERTY SURVEY required for all NEW constructfon. <br /> .�_._� <br /> Directions:• • • • • • • • • • • <br /> FHI out applicaUon completely. � <br /> Owner 8 Contractor sfgn back of applicatlon,notadzed � <br /> If over$250Q a Notice of Commeneement Is requlred. (A/C upgrades over 57500) � <br /> " Agent(for the contrector)or Power of Attomey(for lhe owner)would be someone with nofarized letter from owner authodzing same � <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counler if on public roadways..needs ROW <br />