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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br />Building Department <br />Date Received <br />Ownees Name BlueTriton Brands, Inc. Owner Phone Number 1518-866-8846 <br />Ownees Address [4330 20th Street, Zephyrhills, FL 33542 Owner Phone Number <br />Fee Simple Titleholder Name I BlueTriton Brands, Inc. Owner Phone Number <br />Fee Simple Titleholder Address I PO Box 120029, Stamford, CT 06912-0029 <br />JOB ADDRESS 14330 20th Street, Zephyrhills, FL 33542 LOT # <br />SUBDIVISION PARCELID#F13 26 21 0070 07400 0000 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED NEWCONSTR ADDIALT SIGN DEMOLISH <br />Fq INSTALL REPAIR <br />PROPOSED USE SFR Comm OTHER FC_,pc_,,at,-w�,Ik <br />TYPE OF CONSTRUCTION BLOCK FRAME STEEL = I <br />DESCRIPTION OF WORK Concrete sidewalk 4" thick by 4' wide along 20th Street approx. 800 If <br />BUILDING SIZE I SQ FOOTAGE HEIGHT <br />=BUILDING $ VALUATION OF TOTAL CONSTRUCTION $38,000 <br />=ELECTRICAL $ AMP SERVICE PROGRESSENERGY W.R.E.C. <br />=PLUMBING 1$ <br />=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br />=GAS ROOFING SPECIALTY = OTHER <br />FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES <br />BUILDER <br />SIGNATURE <br />Address <br />ELECTRICIAN <br />SIGNATURE <br />Address <br />PLUMBER <br />SIGNATURE <br />Address <br />MECHANICAL <br />SIGNATURE <br />Address <br />OTHER <br />SIGNATURE <br />Address <br />COMPANY <br />REGISTERED <br />950 East Main Street PO Box 472 Schuylkill H ... ;71�6;�T :1 <br />COMPANY <br />REGISTERED <br />COMPANY <br />REGISTERED <br />COMPANY <br />REGISTERED <br />COMPANY <br />REGISTERED <br />FM 7 --- <br />I Her Brothers Construction, =Inc <br />LLLLN <br />J FEE CURREN L_X N <br />_L_j <br />License# FCBC 1265008 <br />I Y/ N <br />FEE CURREN <br />License# <br />I Y/ N <br />FEE CURREN I Y/N <br />License# <br />I Y/ N <br />FEECURREN <br />License # r- <br />I Y/ N <br />FEE CURREN I Y/N <br />License# I <br />RESIDENTIAL Attach (1) Plot Plans; (Iset, with 1 thumb drive ) of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br />Minimum thirty (30) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster, Site Work Permit for subdivisionsnarge projects <br />COMMERCIAL Attach (1 set, 1 thumb drive) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new constr <br />Minimum thirty (30) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wl 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 $5,000, a Notice of Commencement is required. (A1C upgrades over $7,500) <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 (Front of Application Only) <br />Reroofs if shingles Sewers Service Upgrades Fences (PlottSurvey/Footage) <br />Driveways -Not over Counter if on public roadways..needs ROW <br />