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813-780.002D City of Zephyrhills Permit Application Fax-813-78"021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 813 623 — 3984 <br /> IIIiIIiI IIIII <br /> owner's Name Bank of America NC1-001-03-81 Ow ter Phone Number (�980 335-3561 <br /> Owner's Address 1 101 N Tryon St,Charlotte NC 28246-0100 Ow ter Phone Number I(�� <br /> Fee Simple Titleholder Name I Ow or Phone Number t <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F 5632 Gall Blvd,Zeph rhills,FL 33542 LOT# <br /> SUBDIVISION F PARCEL IO# 11-26-21-0010.05700.0254 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT ® i IGN Q �] DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE = SFR Q Comm r OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL <br /> I = Liphting uoRrade <br /> DESCRIPTION OF WORK Upgrade exterior lighting &poles to LED style lights <br /> BUILDING SiZE I Sq FOOTAGE HEIGHT <br /> =BUIL DIN. <br /> G �� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL 5 66,132.70 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUfr78ING 1$ � <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = THER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE _ REGt '{EA 4 Y t N FEE CURREM1�' Y�1 N� <br /> Address 1 .i IS License# I <br /> ,ELECTRICIAN; COMPANY I filer Electric Com an <br /> SIGNATURE' GIsrERED Y/ N FEE cuRREn Y/N <br /> Address P. .Box 1799,Jacksonville FL 32201-1799 ) License# JEC13004703 <br /> PLUMBER COMPANY _ <br /> SIGNATURE REGISTERED I 1Y/ N I FEE CURREh Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CU(RRE�A Yam! <br /> Address License# ( _� <br /> OTHER COMPANY II <br /> SIGNATURE REGISTERED I Yt N FEECU(RREt'Y!N'�( <br /> Address License#l I <br /> 1111111111111 / 1111ltlllll111111l1 ! { 1lltll11 / 1 ! ! 1 { { tll'iililiti ! ! ! 1 ! i <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;R -W Permit for now construction. <br /> Minimum ton(10)working days after submittal data. Required onsite,Construction Plans,Stormwaler Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster;Sile Work Permit for subdivistons/large prijocls <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 onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All mmercial requiromenls must meet compliance <br /> SIGN PERMIT Attach(2)Sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW conslructjan <br /> Dircctlons: <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 /> Retools if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footag)) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />