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s���aaoam City of Zephyrhilis Permit Ap�Fr;,r�tier�----------------` Fa�-813780-0021 <br /> � �- � �� � `� J <br /> �� -�=J/ ��� i3 ��^��� <br /> Owners Name Owner Phone Number - - <br /> ownersadaress 6951 Gall Blvd, Zephyrhills FL 335 <br /> Fee SimPle Titlehdder Name N�p' Owner Phone Nunber � <br /> Fee Simple Trtlehdder Address <br /> �oBEw��ss 6945 Gall Blvd. Ze h rhills FL 33542 LOT# � <br /> SUBDIVISION � � P� �o�t 03-26-21-0010-00100-0011 <br /> (OBTANED FROM PROPERTY TAJ( NOTICE) <br /> WORK PROPOSED � NEw OONSTR 8 ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMN Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL O <br /> DESCRIPTION OF WORK Install one set of channel letters onto building fascia <br /> BUILDING SI� 20 � SQ FpOTAGE 21 . 33 HEIC�iT <br /> �BUILQING s 2 375 .00 VALUATION OF TOTAL CONSTRUCT{ON <br /> QELECTRICAL 3 AMP SEftYiCE Q PROC�2ESS ENERGY Q W.R.E.0 <br /> �PLUMBING ; <br /> 3 � � <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION /'���� i �5� <br /> l <br /> QGAS � ROOFING Q SPECIALTY Q OTHER ���� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE Al2EA �YES NO ��(j I <br /> ��. <br /> BUILDER /� ��' COMp/Wy � ! f'► c�' �` <br /> SIGNATURE `-- REGISTERED Y/ FEE CURRE� Y/ N <br /> Address License S L-� ��� ..5�'/ 7 v � <br /> ELECTRICIAN J ;i7 ��,y�,/,�' � / CONpANY , � � �!� � e /'ZJ� L� <br /> SIGNATURE ! � `r1 �� � t�GisrEa�o Y ! � Ctx�En Y / N <br /> Address License � ��� lJ � 3! �`1 � � <br /> PLUMBER pp�pqNy <br /> SIGNATURE RECis�t� Y/ N FEE CURREn Y/ N <br /> Address �� � <br /> MECIIANICAL ppMpq�yy <br /> SIGNATURE a�cisrea� Y/ N � cuRa�n Y/ N <br /> Address � � � � <br /> OTHER CpMpµy <br /> SIGNATURE �c�s�Rm Y! N � c�n Y/ N <br /> Add�ss License � <br /> 111111111111111111111111111111 l 1 11111111111111111111111111111111111 <br /> RESIQEN7IM. Attact� (2) PI� Pla�s; (2) sets of BuNdng Plans; (1 j set of Energy Fom�s; R-O-W Permit for new construction, <br /> M"rnimum ben {10) woAcing days aRer subm�l cfaie_ Required ans�e, Constructiorr Pia�, Stormwater Pfans w/ Sift Fence ir�stalled, <br /> Sanitary Faci�ies 8 1 dtmpster; Sde Work Permit for subtCrisionslla►9e Prolects <br /> COMMERCIAL AtFach (3) compfete sets of Biild"ng Plans plus a Li�e Safet�r Page; (1) set of Energy Forms. R-O-W Pem►it for new construction. <br /> Mmat►um ten (10) �ng days aRer submRtal da�e. Requ"red onsie, Ca�struction Plans, Stormwater Plans w/ Sdt Fence ir�t <br /> Sarptary Fac�ides & 1 dumpster. Si�e Wbrk PermR for alt new proJeds. AIt oommeraal requ�ements must meet compiiance <br /> SIGN PERMIT Attad� (2) sets of F�gir�eered Plans. <br /> *"'PROPERTY SURVEY �equired for aY NEW canstrudion. <br /> 1 . <br /> Dmechons. <br /> FiN out appNcation completely_ <br /> Orvner 8 Contrador sigi beck af applicaAo�t, ratar¢ed <br /> !f over 52500, a Notice of is required. (A/C �rades over 57560) <br /> " Agent (Tor the coMractw) or Povrer of Attomey (for fhe owneh wo�dd be some�e with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITi1NG (Front of Application OrUy) <br /> Reroofs if shingles Sewers Service (Jpyrades q/C Ferxes (Pbt/S�nreY/Foota9e) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />