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Date7 Refit r a a 1 2 1 1 1 11 Phone Contact-f"or Permittng <br /> I� . . . . . .- —1 <br /> . . . . . <br /> Owner's Name Fraternal Order of Eagles Zephyrhills Aerie 3752 Inc. Owner Phone Number <br /> 138421 Sth Avenue Zephythills,FL 33542 <br /> Owne�s Address Owner Phone Number <br /> Fee Simple Titleholder N a Owner Phone Number <br /> Fee Simple Till der Address <br /> n <br /> JOB ADDRE 38421 5th Avenue Zephyrhills,,FL 33642 LOT#' <br /> SUBDIVISION I ZeDbUdfflke___— �PARCEL ID# 11-26-21-0010-16300-0130 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN = Q DEMOLISH <br /> 12 INSTALL 8 REPAIR <br /> PROPOSED USE 0 SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME STEEL <br /> DESCRIPTION OF WORK ISupply and Install walk-in cooler and freezer with remote condensers <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> -E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL i$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING is eILA- <br /> r—TIMECHANICAL $ 17,000.00 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_L/N <br /> Address I License# F_ <br /> ELECTRICIAN COMPANY = I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LLt Nj <br /> Address License# F <br /> PLUMBER COMPANY = I <br /> SIGNATURE. REGISTERED Y/ N FEE CURREN <br /> Address -1 License# F_ <br /> MECHANICAL COMPANY E Services of Tampa,Inc. <br /> SIGNATURE Y REGISTERED Y/ N FEE CURREI" LLLN_j <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN �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 w/Silt Fence Installed, <br /> Sanitary Facilities&1 durripster,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 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 construction. <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$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 It shingles Sewers Service Upgrades A/C Fences(PloYSurvey/Footage) <br /> AIM—1—P­­­If­­W1,­4­­ ­,4�OntAf <br />