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s�s-�saoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting – <br /> ' Trl-i-fT � <br /> owners rvame SLE�PY HOLLOW MOBILE ESTATES owner Pnone Number <br /> Owners Address 38615 LANSING AVE ZEPHYRHILLS pWner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TiUehalder Address SAME <br /> JOBADDRESS 38741 CR 54 LOT 99 LOT# � <br /> SUBDIVISION SLEEPY HOLLOW MOBIL PARCELID# 02-26-21-0010-05000-0030 <br /> (OBTAINED FROM PROPERTV TA%NOTICE) <br /> WORK PROPOSED NEW coNsrR ADD/ALT Q SIGN Q Q DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM OX OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIP110N OF WORK REPLACE METER POLE <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ � AMP SERVICE XQ PROGRESS ENERGY Q W.R.E.C. .y <br /> QPLUMBING $ �„ A(�/ <br /> �n UO/J'— `� <br /> // Lt� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l� ��.i <br /> QGAS Q ROOFING Q SPECIALTY � OTHER "/ / � �/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO f �� <br /> I <br /> • �.s000 • e � vo • oaot � • e • ao • • a <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 DAD CITY FL �icense# EC13003069 <br /> PLUMBER � COMPANY / <br /> SIGNATURE REGISTERED Y/ N FEE CURREA ,.� Y/N <br />� Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y I N F E 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 Atlach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, i <br /> Minimum ten(10)working days after suhmittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisionsAarge projects <br />, COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(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 /> Sanitary Facitities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> I 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 application,notarized <br /> I(over 52500,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'rf shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />