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8,13-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received March 12, 2021 Phone Contact for Permitting 813 782 -- 3319 <br /> �i € IIlii €.i� fi <br /> Owner's Name Wellesley Development CorpOwner Phone Number r(81 3) 782-3319 <br /> Owner's Address 1 34619 State Road 54, Zephyrhills, FI 33541 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5518 Gall Blvd, Zephyrhills, FI 33542 LOT# <br /> SUBDIVISION PARCEL ID# 11-26-21-0010-05700-0250 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME = STEEL <br /> DESCRIPTION OF WORK electrical for two signs in front of building <br /> BUILDING SIZE I = SQ FOOTAGE HEIGHT <br /> EAE.y �[ €1E E"V <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ®ELECTRICAL $ 1987.25 AMP SERVICE = PROGRESS ENERGY 0 /JW.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION vl <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> fffffifiifffffif <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY Pattie Electric & Refrigeration <br /> SIGNATURE REGISTERED I U/N FEE CURREN /N <br /> Address 139ff 11 Pattie Rd, Zephyrhills, FL 33540 License# <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 <br /> Address License# I CMC055476 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> [ I.11lfE.l@tt.I #ilE.1t[..IEi >(iti.ltlL.iIE.E # tt,i itI111[ Ei [.[ tE.l1111 € IEiI.iEitt1a € I< i.11 € 1,.1 <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 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 /> 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 />