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lrrilea lrenguin tsar <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> t , Building Department <br /> Date Received ��' Phone Contact for Permitting 1813 715 __ 2333 <br /> Owner's Name Wellesley Development Corp. C/O Nye Comm erci I Owner Phone Number 440-376-1006 Cody <br /> Owner's Address 34619 SR 54/Zephyrhills, FL 33541 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> Job ADDRESS 5534 Gall Blvd/Zephyrhills, FL 33542 LOT# <br /> SUBDIVISION PARCEL ID# 11-26-21-0010-05700-0250 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR e ADD/ALT = SIGN [ = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR X COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK Install LED illuminated wall sign-Connect to EXISTING electric <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ SIM <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 2,380.00 AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ 9 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 9 <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY Ewire Solutions, LLC <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address 5324 Kelly Rd. Unit A/Tampa, FL 33615 License# EC13007814 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address ~' License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> - -RESIDENTIAl-- .Attach(2)Plot Plans;(2)sets of Building Plans; (1)set of.Energy.Forms;R7i0-W_Permit for ne%gponstruction; <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Storm_ water Plans w/Silt Fence installed, <br /> Sanitary Facilities.&1 dumpster;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 /> eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeaeeeeeeeeeeeeeeeeeeeeeeea"�''' <br /> Deirections, <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(iqr 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/Footage) <br /> Driveways-Not over`Counter if on public roadways..needs ROW <br />