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813-780-0020 City of Zephyrhills Permit Application Fax-913-760-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 813 ) 927 — 7346 <br /> OtvneYs Name City of Zephyrhills Owner Phone Number <br /> Owner's Address 533.9 eth St;Zephyrhills,FL 33542 Owner Phone Number <br /> Fee Simple Titleholder Name City of Zephyrhills Owner Phone Number <br /> Fee Simple Titleholder Address 5335 eth Street;Zephyrhills,FL 33542 <br /> JOB ADDRESS 04 6Bi Sh Zephyrhills,FL 33542 LOT# <br /> SUBDIVISION PARCEL IDN 11-26.21-0010-13400-0200 and 11-26-21-0010-13400-0010 <br /> )(X Sltework (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED EWCONSTR8' ADWALT REPAIR SIGN = = DEMOLISH <br /> e <br /> PROPOSED USE = SFR Q COMM- = OTHER F—Municipal <br /> TYPE OF CONSTRUCTION BLOCK FRAME = STEEL = <br /> DESCRIPTION OF WORK {dew SiteWOrk fOr City Hall <br /> BUILDING SIZE —� SO FOOTAGE HEIGHT I I <br /> ®BUILDING $ 523,954.00 VALUATION OF TOTAL CONSTRUCTION(SITEWORK ONLY) <br /> =ELECTRICAL S AMPSERVICE Q PROGRESSENERGY 0 W.R.E.C. <br /> =PLUMBING Is �J v <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS' = ROOFING 0 SPECIALTY = OTHER f7d f I VVV <br /> FINISHED FLOOR ELEVATIONS FLOOD.ZONE AREA =YES NO <br /> BUILDER COMPANY AD Morgan Corp <br /> SIGNATURE (Y REGISTERED. I Y/ N FEE CURREN <br /> Address 716 N.Renellie Dr.;Tampa,FL 33609 License# CGC11 2 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N J <br /> Address License f# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address License 0 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED ' Y/N 'FEE CURREN Y/N <br /> Address _411License# <br /> OTHER COMPANY Complete Development.Inc. <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address coy 301;Tlmnolosassa,FL 33592 License# CUC1224107 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans col Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a'LNe Safety Page;(1)set of Energy Forms.R-O-W-Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over S2500;a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER RERINITTING (Copy or Conuaar required) <br /> Reloofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />