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ais-�eaoozo City of Zephyrhills Permit Application Fax-813-780.0021 I <br /> „ Building Department <br /> Date Received Phone Contact for Pertnitting <br /> T <br /> owners Name SLEEPY HOLLOW MOBILE ESTATES Owner Phone Number <br /> Owners Address 38615 LANSING AVE ZEPHYRHILLS ownerPhone Number <br />� Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address SAME <br /> JOBADDRESS 38741 CR 54 LOT 105 �or# � <br /> susoivtsioN SLEEPY HOLLOW MOBIL pARCELID# 02-26-21-0010-05000-0030 <br /> � � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW coN57R B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER '� <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK REPLACE METER POLE <br />' BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> ' QBUILDING $ <br /> VALUATI�N�F T�TAL C�NSTRUCTI�N <br /> �ELECTRICAL $ � AMP SERVICE XQ PROGRESS ENERGY Q W.R.E.C. � <br /> �PLUMBING $ ��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �I � <br /> � <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER i <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO I <br /> �...r i i i 3 L <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 CURREA Y I N <br /> Address 10624 US HWY 301 DA CITY FL �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 FEECURRE� 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 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,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pertnit for subdivisionsllarge projects <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 construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater 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 /> .�' <br /> IDirections:• • • • • • • • • • <br /> Fill out application completely <br /> Owner&ConVactor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over y7500) <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 PERMITfING (copy of coniract 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 />