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813-780.0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> aaaaaaaa a /�n�a'�■ <br /> Owner's Name D I SUB LLC "�er Phone Number (813)288-8078 <br /> owners Address 2502 N.Rocky Point Drive,Ste 1050 yy�er Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 38362 Kossik Road&38367 Kossik Road,Zephyrhills,FL 33540 LOT# <br /> SUBDIVISION Zephyr Lakes PARCEL ID# 5-25-21.0140-00D00-0000,26-25-21-0140-00E00.000 <br /> (OBTAINED FROM PROPERTY TAX NOTICE( <br /> WORK PROPOSED a NEW CONSTR B ADDiALT = SIGN 0 = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK 2 Entrance Monument Signs <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> -cccrccrc'cc-ccrccc-cccrcccccrcrccccc-cc-cccccccc-ccc-rrc-ccc-rc rccc-cccccrcccr <br /> =BUILDING $ 25,000 VALUATION OF TOTAL CONSTRUCTION <br /> ®ELECTRICAL $ 5,000 AMP SERVICE 100 = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ /`�/^�v �On <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> $ <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER G�r/� �Y/ COMPANY i1.t t <br /> Y N , FEECURREN <br /> SIGNATURE REGISTERED Y N <br /> Address 14620 Bellamy Brothers Blvd, Dade Cil FL 335 5 License# I CGC1515492 <br /> ELECTRICIAN COMPANY ManUs Electric <br /> SIGNATURE REGISTERED I Y N I FEECURREN IkYYN <br /> Address 6301 N.Nebraska Ave Tama FL 33606 License# I EC13004396 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEECURREN I Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEECURREN 1-YIN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N <br /> Address License# <br /> lt� taaaaaaaaaaaaaaaaaaaaaaaaaaaaaa �aaaaaaaaaaaa �aaaaaaaaaaaaiaaaat <br /> RESIDENTIAL Attasch(2)Plaot Plaans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal dale.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivistons/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safely 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,Stormwaler Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Al 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.(A/C upgrades over$7500) <br /> Agent(far 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 If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Foolage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />