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eis-�saoo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> . ' Date Received Phone Contact for Pertnitting -- <br /> TITr <br /> owners Name SLEEPY HOLLOW MOBILE HOME ESTAT Owner Phone Number <br /> Owners Address 38615 LANSING AVE Owner Phone Number <br /> Fee Simple Titleholder Name SAME Owner Phone Number <br /> Fee Simple Titleholder Address SAME <br /> JOB ADDRESS 38741 CR 54 E LOT# 102&103 <br /> SUBDIVISION SLEEPY HOLLOW MHS B ppRCELID# 02-26-21-0010-05000-0030 <br /> (OBTqINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER OLE <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK RELOCATE&REPLACE WOODEN METER POLE WITH CONCRETE POLE <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ 800 AMP SERVICE 200amp� PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �� � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> �v <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> i i i -- <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN � �� COMPANY EAST PASCO ELECTRIC, INC. <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 10624 US HWY 301 DADE CITY, FL 33525 �icense# EC13003069 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I 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 Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projecls <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,ConsWction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facililies&t dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compiiance <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 8 ConVactor sign back of application,notarized <br /> If over Sz500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(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 />