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aia-�eaoozo City of Zephyrhills Permit Application Pax-813-780-0021 <br /> Building Department <br /> -Date RecEived Phone Contact for Pertnittin <br /> owners Name SLEEPY NOLLOW MOBILE HOME ESTAT pwner Phone Number <br /> OwnetsAddress 38615 LANSING AVE OwnerPhonehumber �.^ � <br /> Fee Simple Tideholder Name SAME � pwner Phone Number �--� <br /> Fee Simple Titlehotder Address SAME <br /> aosAooREss 38743 CR 54 E �,QT# 98&99 <br /> SUBDIVISION SLEEPY HOLLOW MHS�I B ppRCELID# 02-26-21-0010-05000-Op30 <br /> (OB7AtNEO FROM PROPERTY TA7C t30T7CE) <br /> WOF2K PROPOSED e NEW CONSTR B ADD/ALT 0 SIGN Q 0 DEMOIiSH <br /> INSTAIL REPAIR <br /> PRQPOSED tfSE Q SFR Q COMM � OTHEF2 �LE <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DescFts�noHo�wotm RELOCATE&F2EP�AGE WOODEN METER POLE WITf-i GONCRETE PO�E <br /> BUILUING SIZ6 � � SQ FOOTAGE� HEIGHT [� <br /> �BUILDING �� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTR(GAL $800 � AMP SERViCE �Qfla(p � PROGRESS ENERGY Q W.R.E.C. <br /> ..... P <br /> QPLUM8ING �� <br /> OMECHANICAI. $ VALUATION pF MECHANICAL INSTALLA710N ����( <br /> 1 <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINtSHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYHS NO <br /> piw i 0.�"� ii.' L 0 i..0 i i ii lii i ' i iS i S 9ii iiii <br /> Ell1lpER � � COMPANY � <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# � � <br /> ELECTRICIAN � COMPANY EAST PASCC7 ELECTRIC, INC. <br /> SIGNATURE �. RECaiSTERED Y/ N FEE CtlRRE� Y!N <br /> Address 10624 US HWY 301 DA CITY, FL 33525 License# EC13003069 -� <br /> PLUMBER � � COMPANY � <br /> SIGNATURE REGISTERED Y�FEECURRE� Y!N <br /> Address Cicense# �� � <br /> MEGHANICAI, � � COMPANY �� � <br /> SIGNATURE ( REGISTERED Y 1 N FEE CURREp Y 1 N <br /> Address License# �� � <br /> OTHER � � COMPANY �- � <br /> SIGNATURE � REGISTERED Y I N FEE CURRE� Y/N <br /> Address Licersse#.C`-.-- � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new cansWction, <br /> Mioimum ten(1Q}working days a$er submi@al da#e. Required onsite,Construction Pians,Stormwater Ptans wl Silt Fence installed, <br /> Sanitary Facitities&1 dumpster;Site Work Perrn'sf for subdivisionsflarge projects <br /> COMMERCIAL Attach(2)complete se[s 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/Siit Fence instaNed, <br /> Sanitary Pacilities 8�t dumpster.Site Work Permit#or aIl new projects.ASI commercial requiremenfs musf ineet compliance <br /> SIGN PERMIT Attach(2)seis of Engineered Pians. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out applicaGon completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$25�0,a Notise of Commencement is required. (AtC upgrades over$7544} <br /> " Agent(for the contractor)or Power of Attomey(for the owner)woutd be someone with natarized ietter from owner authorizing same <br /> OVER THE COUNTER PERMITfING (copy of cantract required) <br /> RerooEs if shingies Sewers Service Upgrades fVC Fencea(PIoUSurveyiFootage} <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />