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Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> R man Construction Inc. ' 813-?82-0825; <br /> Owner's Name Y Owner Phone Number(� <br /> owner's Address ' 36413 SR 54 Owner Phone Number <br /> Fee Simple' itleholder Name Owner Phone Number - <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 6767 Basswood Circle ZephyrhillS, FL 33541 LOT ' <br /> SUBDIVISION DriftWad.Phase 5 ' PARCEL ID# 02-26-21-0300-00000-0170 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ✓ NEW CONSTR ADDIALT SIGN 0 MOVE 0 DEMOLISH <br /> INSTALL. REPAIR <br /> PROPOSED USE [� 'SFR 0 COMM F1 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL OTHER <br /> DESCRIPTION OF WORK NeW six'p.lex single family, single villa.condos. <br /> BUILDING SIZE. 27 x53 SQ FOOTAGE 1431' HEIGH.T <br /> 0 BUILDING 4'130000 VALUATION OF TOTAL CONSTRUCTION' <br /> Q ELECTRICAL ($ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> PLUMBING >$ <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> [� GAS 0 ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS- FLOOD ZONE AREA YES FZ:JNO <br /> _BUILDER._ <br /> RY man Construction, Inc. <br /> - COMPANY <br /> SIGNATURE REGISTERED I Y 1 N FEE CURRENT Y/N ` <br /> Address 36413 R , Ze hrills, FL 33541 License# CGC1517771 <br /> ELECTRICIAN COMPANY East Pasco Electric; Inc. ' <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address 10624 US 301, Dade Clt ; FL.33525' License# ' <br /> PLUMBER COMPANY A's Plumbing <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address 37314 Tucker Road; ZephyrhillS, FL 33541 License# <br /> MECHANICAL COMPANY Sonny's HVAC - <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address 10651 US 301, 'Dade City, FL 33525 License# <br /> OTHER COMPANY <br /> SIGNATURE LY/ N ' FEE CURRENT Y I N <br /> Address License# ` <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 wI Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work:Permlt for'subdivislonsilarge projects <br /> COMMERCIAL. Attach(3)sets of Building Plans;(1)set of Energy Forms.R-O-W.Permit for new construction. <br /> Minimum ten(10)working days after submittal hate. Required onsite,'Construction Plans,Stormwater 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 constriction. <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. (AIC upgrades over$5000) <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 PERMIT.TING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter If on public.roadways-needs ROW <br /> • +'ne-_fig.±;.n�:rr_.dsln-�•:^C�"x_:, .. - - ., .. i.. <br />