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' 813-780.0020 City of Zephyrhills Permit Application FaX-813-7BU021 <br /> Building Department ], '1 L <br /> Date Received Phone Contact for Permitting ( 2 J 7 7 6 <br /> Owner's Name CenterState Bank OrmerPhoneNumber 813-783-8122 <br /> Owner's Address 1 6930 Gull Boulevard Owner Phone Number Same <br /> Fee Simple Titleholder Name I CenterState Bank Owner Phone Number Same <br /> Fee Simple Titleholder Address 1 6930 Gull Boulevard <br /> JOB ADDRESS 6930 G411 Boulevard LOT# N/A <br /> SUBDIVISION I N/A PARCELIDB 02-26-21-0010-00800-00-50 <br /> (OSTAINED FRO!d PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADDIALT ® SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK Minor Interior Alterations <br /> BUILDINGSIZE 1 6909 SQFOOTAGE 1 6.904 HEIGHT N/A <br /> =BUILDING $70 s 000.00 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL s 31 r 000.00 AMP SERVICE Q PROGRESS ENERRGY (�Q W.R.E.C. <br /> =PLUMBING S 0 -r( Z�— <br /> =MECHANICAL S 1,000.00 VALUATION OF MECHANICAL INSTALLATION TV <br /> 44V&WV <br /> =GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES No <br /> (� J 0OFloridaConcepts,' 1 <br /> BUILDER \ Q� COMPANY Fl C ' Inc.y <br /> SIGNATURE JJJ ftP.GISTERED I Y/ N FFECURREN I YIN <br /> Address 804 N Belcher Rd z' O U eater License# CBd057256 <br /> , <br /> ELECTRICIAN !� - ''~ _ OMPANY Tri Count Electric . dd <br /> SIGNATURE ! `"i h :i� `'' <br /> IS7ERED I Y/N FEE CURREA I Y!N <br /> Address 108 Doulas Ave. , Dunedin. d L License <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURRFA Y/N <br /> Address tr Licenseff p MN =i <br /> MECHANICAL /� J I-01OMPANYSIGNATURE `���1 REGISTERED YIN FE cuRREn 'Y 7 <br /> Address £+ License# D ,J <br /> OTHER COMPANY <br /> SIGNATURE I Y 1 N I FEE CURREA YIN <br /> Address License <br /> I111111111111111 ! { 1111IIIIIIIIIItIIIIIIIII11111I11»[ 1 / 1111IIIIIIIIII <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,Stormwrater Plans vd Slit Fence Installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdIVIslons/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set at Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onstte,Construction Plans,Stormwater Plans wl Silt Fence Installed, <br /> Sanitary Facirilies&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 /> F11 out application completely_ ` <br /> Owner&Contractor.sign back of application.notarzed <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone vcilh notarized letter from owner authorizing same ' <br /> OVER THE COUNTER PERMITTING (eepy of contract required) <br /> Retools if shingles SeWers Service Upgrades A/C Fences(Plot/Survey/Footage). <br /> Driveways-Not over Counter If on public roadways-needs ROW <br />