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� � 813-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> "�-RT�-i-rr PhoneContactforPermitting '( 407 � 378 _ 6682 <br /> - rrr r- <br /> owners Name Hafbor F�eight Tools OwnerPhone Number 407-469-5599 x 2 <br /> Owners Address 176 E Highiand Avenue Clermont,FL 34711 OWne�Phone Number <br /> � Fee Simple Titleholder Narne Owne�Phone Number � <br /> Foe Simpie Ti[leholdcr Address - <br /> JOB ADDRESS 5935 Gall Blvd � <br /> LOT# <br /> SUBDIVISION Pine Grove PARC[L ID# 10-26-29-0020-00000-0050 <br /> {087AIPlED FROM PpOPERTY TAX fVOTICE) <br /> WORK PROPOSED B NEW CONSTR ADD/ALT [� SIGN <br /> INSTALL e REPAIR � 0 DEti10LISH <br /> PROPOSED USE � SPR Q COMM _ - , <br /> � OTHER <br /> 7YPE OPCONSTRUC710N � BLOCK Q FRAME O STEEI � <br /> , DESCRIPTION OF WORK Tenant Improvement Yo Exisiting Mercantiie Space <br /> BUILDING SIZE SQ FOOTAGE 15,168 HEIGHT � , <br /> . T7�TT2�'T'ITTP'1"��ITr'IZ�P'rrr7��'9"TI—P7�+'TP9'T'tT�,TT[T'f <br /> , �BUILDING g ��TrT�'�R" <br /> � 95;000 VALUA710N OF TOTAL CONSTRUCTIDN <br /> � �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY <br /> 12.,DOO � W.R.E.C. <br /> � mPLUMBiNG S <br /> � 15,000 � <br /> � [�]MECHANICAL S VALUATION OF MECHANICAL INSTALLATION �� �� <br /> , 10,000 j {r� <br /> � QGAS Q ROOFING O SPECIALTY � OTHER ���`����-���� I <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE ARFa <br /> OYES N��'�}�[S�i f-� //�'. <br /> .-.-:-i-�f-F-�--�� S .-.4- 1-�-.-.— - �. \.. !1_L`, % :.i�Cl�� � �� <br /> .�.�F+C�-�e.i_G.!� I <br /> tJ ';'_'�i- <br /> BUILDER r""-� '• � I <br /> SIGNATURE � REGISTERED Y! N FEECURRE�• Y!N <br /> Address � <br /> - _ License# ' <br /> ELECTRICIAN i <br /> /� SIGNATURE �vMPANY � � <br /> REGIS7ERED Y/N FEE CURR6� Y/N � <br /> -�� � Address � I _ � <br /> ��( � License# ' <br /> ��L PLIIMBER � �,�Y I <br /> SIGNATURE I REGISTERE� Y/N FEE GURRE� Y/N i <br /> lldd»ss — i <br /> License� � <br /> _ ' <br /> MECHANICAL � <br /> SIGNATURE /V � - �Y/ N FEE URRE� Y!N " <br /> naa�s5 '/ Sw S"�5 rrs •_��.,,i�2� l� Y r�y�3�c3S� - � <br /> License k ) <br /> OTHER COMPANY <br />' SIGNqTURE REGISTERED Y/ N iEE CURRE� Y l N. ' <br /> Address License ti <br /> 1 1 1 1 I 1 1 1 1 I 1 1 1 1 1 1 1 I I 1 t I I 1 I 1 1 1 f I 1 1 I 1 1 1 l I t 1 1 I 1 1 1 1 1 1 1 1 l 1 1 1 1 1 1 I 1 I I 1 1 1 1 1 1 ' <br /> RESIDENTIAL Atlach(2)Plot Pians;(2)sets of Buildinc�Plans;(1)set o(Energ;Fortns;R-O-W Permit for netv wnslfuctlon, � <br /> fuiinimum len(70)workin�days ailer submittal tlate. Reqoired onsite,ConsWction Plans.Slortnv2ter Plans w/Sili Fence inctalled, � <br /> Sanitory Facilities&1 dumpster,Siie Work Permit for subtlivisionsAarge projects I � <br /> COMMERCfAL Atlach(2}complele sels of Bui(ding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consfruciion. ' ; <br /> tJlinimum len(1 D)vrorking days aRer submil[ai date. Requiretl onsile,ConsWction Plans,Stormwater Plans w!Silt Fence installed � <br /> San(tary Facilities 8 1 dumpsler.Site Work PermA for all new projzcts.Ail commercial requirements must meet compiiance � <br /> SIGN PERMIT Atlach(2)sets of Engineered Plans. - � <br /> . � <br /> "'PROPERTY SURVEY required for all NEW construction. , , <br /> �-F-4�i-F-L�1-1�{-i�4a�-.F-�•[-4�-1-4.f-.4-1-L-7-•f-�8-. . . . . . l�l-L-f-i_� ,.--.-,���3�-. . . ��k�i-i-i--0-...�-{..i.•L-6..y. � <br /> Direclfons: ; <br /> Fill oW applicalion completely, i' <br /> Ovmer&Contraclor sign back of application,nola�fzed <br /> If over S250Q,a Motice of Gommencement is required. (N,C upgrades over 57500) � <br /> " Apent(fo�the conlreCto�)o�Povie�of AtlomCY(fo�lhe oemer)��muld be someone wilh notarized lotter from owncr authorizing same <br /> OVER,7HE COUNTER PERMITfING (copy o(conlract required) ' <br /> Reroofs if shingles Se�vers Service Upprades A/C Fences(PIoVSurvey/Footage} �' <br /> Driveways-Not over Counler if on public roadviays..neeris ROW <br /> � <br />