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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received L 7/2/2019 Phone Contact for Permitting 1(813 ) 892 - 6103 <br /> 11, VD -EE;i��� <br /> Owner's Name delsoll 51 wrier 'hogne Number 813-601-3708 <br /> Owners Address 5155 Gall Blvd Zephyrhills, FL33542 Owner Phone Number <br /> Fee Simple Titleholder Name I :D Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS E5155 Gall Blvd.Zephyrhills, FL 33542 LOT# <br /> SUBDIVISION DARCELID#[__ <br /> (OBTAINED FROM PROPERTY TA.NOTICE) <br /> WORK PROPOSED NEW CONSTR[=1 ADDIALT = SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE Q SFR = COMM OTHER 1-Ramp Wild <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL = . L— <br /> Install new ramp to rear most area of right—side of suite.Open wall where a pass Trough opening previously exi <br /> ste <br /> DESCRIPTION OF WORK allowing for Pass throw traffic. <br /> BUILDING SIZE L 3165 SO FOOTAGE- I HEIGHT <br /> I V IBUILDING $2,000.00 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY F---1 W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> 116 <br /> =GAS ROOFING SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS <br /> L --------I FLOOD ZONE AREA =YES NO <br /> I oon A i <br /> BUILDER i COMPANY <br /> Grace Construction Group <br /> SIGNATURE REGISTERED I YI/ FEE CURREN <br /> Address 1_130fV4 Dale Mabry Hy,Suite 137 Tampa,FL License# <br /> 3361� CBC1263094 <br /> _7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE L REGISTERED Y/ N FEE CURREN <br /> Address License#F- <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEECURP----- YIN <br /> Address —1 License# <br /> OTHER COMPANY I <br /> SIGNATURE L REGISTERED Y/ N FEE CURREN L)=N <br /> Address License#I <br /> RESIDENTIALAttach(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 w/SIR 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 Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onstle,Construction Plans,Stermwaler Plans wl Silt Fence installed, <br /> Sanitary Facilities&I 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$2600,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 PERMITTING Service <br /> of contract required) <br /> Rerooft if shingles Sewers Service Upgrades A/C Fences(PiotfSurvey/Footage) <br /> Driveways-Not over Counter if on public roadymys-needs,ROW <br />