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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received _ Phone Contactfo►Pertnitting <br /> �—�—�—r <br /> owners Name SLEEPY HOLLOW MOBILE ESTATES owner Phone Number <br /> Owners Address 38615 LANSING AVE ZEPHYRHILLS OwnerPhone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address SAME <br /> JOBADDRESS 38741 CR 54 LOT�0� � LOT# � <br /> SUBDIVISION SLEEPY HOLLOW MOBIL pARCEL ID# 02-26-21-0010-05000-0030 <br /> (OBiAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OX OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK REPLACE METER POLE <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER J � � � � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO / � <br /> .�.� 30- 7 <br /> BUILDER •COMPANY, �7CJ`� b� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C/�� � <br /> ELECTRICIAN COMPANY EAST PASCO ELECTRIC, INC <br /> SIGNATURE REGISTERED Y( N FEE CURRE� Y!N <br /> Address 10624 US HWY 301 DA E ITY FL �icense# EC13003069 <br /> � PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 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 /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Altach(2)Plot Plans;(2)sets of Building Pians;(1).set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanilary Facilities 8 1 dumpster;Site Work Pertnit 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 construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 construdion. <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 upgredes over$7500) <br /> " Agent((or the contraclor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITiING (copy of conVact 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 />