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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received Phone Contact for Permitting 941 518 __ 4342 (Renee) <br /> -�-� -�-�-�-�-�-�- - --- - -�-�--�-�-� - - - <br /> Owner's Name Shiva 6005 Gall LLC Owner Phone Number <br /> owner's Address 9100 SW 178th St, Palmetto Bay, FL 33157 owner Phone Number <br /> ti <br /> Fee Simple Titleholder Name ' � Owner Phone Number <br /> Fee Simple Titleholder Address � � <br /> JOB ADDRESS 6011 Gall Blvd, Zephyrhills, FL LOT# � <br /> SUBDIVISION PARCELID# 03-26-21-0010-1.��A4.� ` >Qv <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT XX SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR � COMM 0 OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK FRAME 0 STEEL � <br /> DESCRIPTION OF WORK Install new wall sign and change faces in existing multi-tenant monument sign <br /> BUILDING SIZE ` � � , ��X �V SQ FOOTAGE � � �J HEIGHT �� (b L/ <br /> UILDING $ 2400 VALUATION OF TOTAL CONSTRUCTION I <br /> ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> 250 <br /> OPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /Js /P�(�(�j/ <br /> _�j, � �7 _�� <br /> �GAS � ROOFING 0 SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> /� / <br /> BUILDER !/�, J��� �//� ��l��COMPANY Allen Industries of North Carolina,Inc <br /> SIGNATURE O(/(�Lf�iqp' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 11351 49th Street North, Clearwater,FL 33762 License# ����� <br /> ELECTRICIAN ���,, COMPANY Allen Industries of North Carolina,Inc <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 11351 49th Street North, Clearwater,FL 33762 License# ���/V� �� <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 /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> — RESIDENTIAL Attacti(2)Plot Plans;(2)sets ofBuilding 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 /> 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(PlobSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />