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urysiall tsar <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ��� - Ph [E813 715 __ 2333 <br /> Phone Contact for Permitting <br /> Owner's Name Jerry's Crystal Bar, Inc.-Rene Hill Owner Phone Number <br /> Owner's Address PO Box 808/Zephyrhills, FL 33539 Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Add-r <br /> vj F <br /> JOB ADDRESS 5K/ Gall Blvd/Zephyrhills, FL 33542 LOT# <br /> SUBDIVISION PARCEL ID# 11-26-21-0010-03200-0030 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SI � = DEMOLISH <br /> e INSTALL R <br /> GNREPAIR <br /> PROPOSED USE = SFR X COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK Install LED illuminated reverse lighted channel letters on front and back of building. Connect to EXISTING Ilectric. <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 2,399.00 AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ . <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ✓ <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES N00 <br /> �J <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N 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# FEC13007814 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <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 /> ---- - - _ •-._.. .,_-"-�•,.....,.•�_ ......_-._u_�....�__:.._ _i___n�„..�.�.<_..-oirc-�r�-;••tr�Ct`Oi_ol„ _4r�. rye ._a� .,LCiN.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 /> I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 1 1 1 1 1 1 � <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(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 if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />