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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Data Received Phone Contact for Permitting 813 323-3336 _ <br /> Owner's Name Zephyr Lakes Community Development District Owner Phone Number <br /> Owners Address 250 International Pkwy Suite 280 Lake Mary,FL Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 17 <br /> JOB ADDRESS Pretty Pond Road ' stiff / j/�✓ LOT# <br /> SUBDIVISION ephyr Lakes Subdivision Phase -5 PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK Site development-clearing/grubbing/earthwork/sewer/storm/water/base/pavement <br /> BUILDING SIZE I SO FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OE-T.OTALCONSTRUC 10 $6,3 44,435.00 <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ tg <br /> � <br /> =MECHANICAL $ VALUATI NbF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> -.-.�-...-.-.-...-... . . . L+�:-74 .�-.�...-. . <br /> BUILDER o� COMPANY FP e, L) G1AI M /✓/--/UL <br /> SIGNATURE E:' REGISTERED f I Y/ N FEE CURREA�3 Y/N <br /> Address �J �C� J ;L/.{ J' •fir .`t!,� ��S��G License L_u C 2 27 7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREK Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE<` _Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY QGS Development,Inc. <br /> SIGNATURE REGISTERED Y/ N FEE CURREN IY/N <br /> Address 1450 S.Park Road Plant City,FL 33566 License# I CUC 1224741 <br /> Illllllllllllllllllllllllllllllllllllllllllllllllltllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit 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&1 dumpster,Site Work Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater Plans w/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 /> . . . <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <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 with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />