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813- 780-0020 City of Zephyrhills Permit Application • Fax - 813- 780 -0021 %....0 <br /> Building Department ' <br /> 0 MAE - <br /> Date Received 79 - 7 /O phone Corrtaot for Ferman • 727 375 -2300- <br /> Owner's Name Shiva 6005 Gall LLC owner phone Number 305- 216 -1003 (_ 4' <br /> owmter A ddre.. I 8100 SW 178th St., Palmetto Bay, FL 33157 I Owner Phone Number 1 I <br /> Fee Simple Titleholder Name I n/a 1 Owner Phone Number I I <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 1 6005 Gall Blvd., Zephyrhills, FL 33542 LOT # 1 0041 <br /> SII3DIVISION I 1 pARCEL ee l 03 26 21 0010 11200 0041 I <br /> (OBTAMED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW cONSTm B ADD/ALT r SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM r] OTHER I I <br /> TYPE OF CONSTRUCTION ® BLOCK = FRAME r, STEEL = I <br /> DESCRIPTION of WORK I Dumpster Pad Enclosure I <br /> BUILDING SIZE I 1 So FOOTAGE I I HEIGHT I I <br /> I© BUILDING _. <br /> 5,30O. 7 V LUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.EC. <br /> =PLUMBING IS <br /> =MECHANICAL IS I VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY r OTHER <br /> FINISHED FLOOR ELEVATIONS ( I FLOOD ZONE AREA =YES NO <br /> BLNLOTR (� COMPANY Blake Construction, LLC I <br /> SIGNATURE REGISTERED If q� N FEE MFRS. 1 / N <br /> Addrom 111514 Pyramid Drive, Odessa, FL 33556 I ucerrse # 1 CGC 1513372 I <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I <br /> 1 License* I <br /> PLUMBER COMPANY I <br /> SIGNATURE <br /> REGISTERED I Y/ N I FEE CORREA I Y/ Al I <br /> Address I <br /> 1 Ucense # I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CORRE1. I Y/ N I <br /> Address I I Unwise # I I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CORREA I Y/ N I <br /> Address I 1 License # I I <br /> III IIIII IIII111111III III111 111 IIIIIIIIIIII 11ulIIIIIIIIIIIIIlIIIJIII <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) waking days after submittal date. Required onsite, Construction Plans, Sbmwvater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster, Site Work Permit for subdivlaionallerge projects <br /> COMMERCIAL Attach (3) 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 onsfe, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpeter. Site Work Permit for all new projects. M commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> '""PROPERTY SURVEY required for all NEW construction. <br /> Directions: 1 1 1 1 1 I <br /> FM out tack O r E ; DC) IVt PSTEQ � UStJ26 <br /> Owner & & Canlrac ntracbr sir sign back of application, notarized <br /> I over $2500, a Notice of Commencement Is required. (A/C upgrades over $7500) (� /� <br /> Agent (for the contractor) or Power d Attorney (for the owner) would be someone 'with notarized letter from owner authorizing same C- ` 4 L L M e E T 5 1 �EL (F °( otT(W) s <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades NC Fences (PbtISurvey /Footage) C See - r - retc4e - b) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br /> 0 .• dilP <br /> v 070G-77p( <br />