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` a 813-780-0020 City of Zephyrhills Permit Application Fax-81&780-0021 <br /> Building Department <br /> Date Received Phone Contact for Pertnitting -- <br /> TI'7T <br /> owners Name SLEEPY HOLLOW MOBILE HOME ESTAT owner Phone Number <br /> OwnersAddress 38615 LANSING AVE OwnerPhoneNumber <br /> Fee Simple Titleholder Name SAME Owner Phone Number <br /> ' Fee Simple Titieholder Address SAME <br /> JOB ADDRESS <br /> 38741 CR 54 E LOT# 104&105 <br /> SUBDIVISION SLEEPY HOLLOW MHS B ppRCELID# 02-26-21-0010-05000-0030 <br /> (OBTAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED e NEw coNsrR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM X� OTHER OLE <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIP110N OF WORK RELOCATE&REPLACE WOODEN METER POLE WITH CONCRETE POLE <br /> BUILDING SIZE S�FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ 800 AMP SERVICE 200amp� PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ !�j /J� 3 <br /> �� V � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION L ' <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRE� Y!N <br /> Address License# <br /> ELECTRICIAN � � COMPANY EAST PASCO ELECTRIC, INC. <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address 10624 US HWY 301 DAD CITY, FL 33525 �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 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)Ptot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;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 Pertnit for subdivisionsflarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construdion. <br /> Minimum ten(10)vrorking days aNer submirial date. Required onsite,Construction Plans,Stormwate�Plans w/Silt Fence installed, ' <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit 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 applicalion,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letler from owner authorizing same <br /> OVER THE COUNTER PERMITIING (copy of contrect 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 />