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s»-�so-oozo City of Zephyrhills Permit Application Fax-8137g0-0021 <br /> Building Department <br /> Date Received � �'i'.-�/ <br /> �—�— c� PhonaContactforPertnittin9 ,�� ��a _ �q�� <br /> Owner's Name Robert Richardson � �� �u,r � pwner Phone Number 804-697-7491 <br /> Owners qddress 1021 E Cary Street Richmond VA 23219-4058 <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7780 Gall Blvd US 301 Zephyrhills FI 33541 � <br /> LOT# <br /> SUBDIViSION PARCELIDq 3525210130000000060 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q <br /> e INSTALL e REPAIR 0 DEMOLISH <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPnON OF WORK add one light pole; 75 ft trench; add one hght pole fixture; add two wall packs; add one circuit breaker <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT �� <br /> �BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ �6,991 76 AMP SERVICE Q PROGRESS ENERGY Q W R.E.0 <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (�� <br /> � <br /> QGAS Q ROOFING � SPECIALTY <br /> 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY � <br /> SIGNATURE RE RED Y/ N FEE CURRE� <br /> Y/N <br /> Address � <br /> License # <br /> ELEC7RiCinN Lin R. Rogers Electrical Contractors <br /> SIGNATURE �,��. R OMP RN D y � N FEE CURRE� Y/ N <br /> Address 2050 Marconi Drive Suite 200 Alpharetta Ga 30005 <br /> License # EC0000740 <br /> PLUMBER COMPANY � <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/ N <br /> Address � <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED <br /> Y/ N FEE CURRE� Y/ N <br /> Address � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> RESIDEN7IAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-O-W Permit for new construction, <br /> Minimum ten (10) warking days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster, Site Work Pertnit far subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (i) set of Energy Fortns. R-O-W Pertnit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, ConsWCtlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & i dumpster Site Work Pertnit for all new projects. All commercial requirements must meet campliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""`PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application campletely <br /> Owner 8 Contrador sign badc of application, notarized <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over E7500) <br /> " Agent (for the conVactor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs 'rf shingles Sewers Senrice Upgrades A/C Fences (PIoVSurvey/FOOtage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />