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~ 813-780.0020 City of Zephyrhills Permit Applic FaX el3aao 0021 Building Department ' �7 � Date Received 1, .i ,[� Phone Contact for Permittin 813 715-2333 Owner's Name Y /� a Owner Phone Number d Owner's Address `T��//� AW-9 AD L Owner Phone Number Fee Simple Titleholder Name VVG✓� �i� Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 4718 Gall Blvd./Zeph rhills, FL 33542 LOT# SUBDIVISION PARCEL ID# 14-26-21-0100-03600-0070 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR B ADD/ALT ® SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR ® COMM = OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = DESCRIPTION OF WORK Install non-illuminated max-metal sign panel to building fascia. BUILDING SIZE SQ FOOTAGE= HEIGHT t ® ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ . ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ L- ®BUILDING $450.00 VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION v =GAS = ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY Liner Construction of Florida, Inc. SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address 124160 SR 54/Unit 1 /Lutz, FL 33559 License#I e,86 Z r&,gaa'� ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Address License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURRENT Address License# MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N FEE CURRENT LXLN Address I License# OTHER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURRENT LYLN Address License# ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;RAW Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwaler Plans w/Slit Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects 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. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonmwaler Plans w/Slit Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. —PROPERTY SURVEY required for all NEW construction. Ililtllllllllllllllllllllllllllllllllllllllllllllllllllllllllll Directions: Fill out application completely. Owner&Contractor sign back of application,notadzed If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) •• Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW