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' $13-780-0020 City of Zephyrhi!!s P�rmit Application Fax-813-780-0027 <br /> Building Department <br /> � t�ate Received Phone Contact for Permitting 386-25�-762? <br /> T7-TTC""i � <br /> owner's Name 2ephyrhills Merchant Square LLC Owner Phone Number 407-297-i 6pq <br /> Owner's Address $��Highland Ave.,Suite 20d,Or(ando,F�32 03'-owrie�phone Number d��-2g�-1600 � <br /> Eee Simpie Titiehoider Name � �-_-! Owner Phone Nomber � <br /> Fee Simple Titleholder Address <br /> JOB ADDf2ESS 7335 Gall Blvd.,Zephyrhills,FL 33541 1 of 15 LOT# � <br /> su�a�vGs�oN MerchanE Square � Paftce�ron 34-25-21-0040-00300-0020 <br /> (OBTAINED FROM PRQPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CON57a 8 ADD/ALT [� SIGN [� � DEMOLISM <br /> INSTA�L REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER Re-�oor <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WpRK Re-f2aof with installtion of recovery board and 060 TPO <br /> BUI�DINfia$!ZE see attached SQ FdOTAGE 78��75 HEi61iT 34� <br /> �BUILDING $ �2Q Oa0 4fl � VALUATION OF TOTAL GOt�tSTRUCTtON <br /> QELECTRICAL �� AMPSERVICE 0 PROGRESSENERGY Q W.R.E.C. <br /> QPLUMBING �� � � /� �( � <br /> ...( 1 <br /> QMECHANICAL $ VALUATtOA!QF MECHANICA�INSTALLATtON <br /> QGAS Qx ROOFING Q SPECIALTY � OTHER <br /> FWISHED FLOOR EIEVATIONS r�� FLOOD ZONE AREA �YES NO <br /> L <br /> BUILDER � � COMPANY � � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �_ � <br /> S��CTRICIAN � � COMPANY � <br /> SlGNATURE REGISTEREC! Y I N FEE CURREA Y/N <br /> Address �icense# � -� <br /> PLUMBER � � COMPANY � <br /> SIGNATURE REGISTERED Y( N FEE CURRE� Y I N <br /> Address l.icense# �- � <br /> MEGHANICA! � � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��jt -� l icense# ��-� <br /> ....... ...... <br /> OTHER � 2/� ( COMPANY <br /> SIGNATURE V REGISTERED Y I N FEE CURRE� Y!N <br /> Address l�icense# � I <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllll�ll ! l11111111I11111111l1 <br /> RESIDEFtTlA� Attach{2)Plot Plaos;(2)sefs of Building Pians;(1)sei af Energy Forms;R-O-W Permit for new construcfion, <br /> Minimum ten(10}working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitfes 8 1 dumpster,Site Work Permit for subdivisions/large projecls <br /> COMMERCIAL Attach(2}compleie sets af Building Pfans plus a Life Safety Page;{1}set of Energy Forms.R-Q-W Permit for new construction. <br /> Minimum ten(10}working days after submittai date. Required onsite,Consfructian Plans,Storrnwater Flans wt Siit Fence insta(Ied, <br /> Sanitary Facilities 8�dumpster Site Work Permit for ell new projects.All commercial requirements must meet compliance <br /> SIGN PERMI7 Attach(2)sets of Engineered Plans. <br /> ""PROPER7Y SURVEY required for aD NEW construction. <br /> ��_, . . :_�._.,_�� ,_._2_. .. . . . .. . . . . . . . . . . . . . . . . . . . . . <br /> Directions: <br /> FiII out application completely <br /> Owner&Gonfractor sign back of appiication,notarized <br /> If over$2500,a Notice of Commencement is required. (AiC upgrades over$7500) <br /> " Agent(for the conlractor)or Power of Atromey(for the owner)would kre someane with notarized letter from owner authorizing same <br /> OV�R 7HE GOl1NTER PERMITTIN6 (copy of conUact required) <br /> Reroofs if shingtes Sewers Service Upgrades A!C Fences(PloUSurvey/Footage) <br /> priveways-Not over Counter if on public roadways..needs ROW <br /> i <br />