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\ � \ <br /> 1 <br /> /� e�aaeo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building DepaRment <br /> Date Received phone Contact for Permitting 407 � 378 _ 6682 <br /> -rrrr <br /> / Owners Name Harbor Freight Tools Owner Phone Number 407-469-5599 X 2 <br /> owners Address 176 E Highland Avenue Clermont, FL 34711 owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address i <br /> JOB ADDRESS 5935 Gall Blvd �or# � � <br /> SUBDIVISION Pine Grove PARCEL ID# 10-26-21-0020-00000-0050 I <br /> (OBTAINED FROM PROPERN TAX NOTICE) I <br /> WORK PROPOSED e NEW coN57R e ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR � <br /> I PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL 0 <br /> DESCRIPTION OF WORK Tenant Improvement to Exisiting Mercantile Space. ' <br /> BUILDING SIZE SQ FOOTAGE 15,'I6H HEIGHT � � <br /> Tri'T'TTrTI"ITTITT�TTrTI"ITT�TI"'TTITrTrTTTrTT�TITTTTr � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 95,000 <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> 12,000 <br /> mPLUMBING $ � <br /> 15,000 /� ��. <br /> mMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �j�J �^ , <br /> 10,000 �� <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER �'" ' <br />' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES �� <br /> "� sw� <br /> �::�...^......r.�._...r...r �. . ....��:..�•.� :..^:.....r.�::� � ._...._ <br /> BUILDER /�_ � � COMPANY <br /> SIGNATURE (T�►a REGISTERED Y/ N FEE CURRE� Y/N. <br /> Address License# <br /> /� ELECTRICIAN �r���r•�-�J` � � vCOMPANY I�z F"t'�G��� ; <br /> (� 1 SIGNATURE 4 REGISTERED Y/ N FEECURREA Y/N ����� <br /> �V <br /> /� Address License# <br /> PLUMBER � �,✓ COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ' I <br /> Address License# I <br /> MECHANICAL �����/',a n/I ' Z 1 COMPANY <br /> SIGNATURE 'Y� '`'`Et'1 C�'� REGISTERED Y/ N FEECURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> ' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIitllllllllllllllll <br /> RESIDEN7IAL Attach(2)Plot Plans;(2)sets of Building 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 Faciiities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans pius 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,ConsWction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Woric 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 /> +1--FI-L-4-I..la-{..�1-.1-.1-1--1-1--��L-i-1..1-i-L.-{-1--1--F-FF�I--1-I--I-.t-f.-I-1--1-.i-1.-FI--1-.1-4+1--F�7�..-r�l..i-1-.i�1--1-1--1--F- ' <br /> Directions: <br /> Fill out applicalion completely <br /> Owner&Conlractor 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 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 Senrice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />