� ais-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
<br /> MONUMENI SIGNA&B Budding Department ` ��n�
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<br /> . Date Received Phone Contact for Permittin� $43 576 _ 3208
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<br /> owners Name FEDJO Realfy Corporafion(LL confacf:Elizabefh Basseft) pWner Phone Number 516-829-6767
<br /> Owner's Address 6328 N. 126 Ave,Litchfield Pa►k,AZ 85340 Owner Phone Number 516-432-3643
<br /> Fee Simple Titleho�der Name Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> 37943 Eiland Boulevard,Ze h rhills,Fi 33542-2523 'Please see olloched dxumenf/w
<br /> JOB ADORESS P Y
<br /> Properly InlormaNOn and Legal DeacripMon
<br /> SUBDIVISION PARCELIO# 03-26-21-0010-06400-0030
<br /> (OBTAINED FROM PROPERTY TAl(NOTICE)
<br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN � MOVE � DEMOLISH
<br /> INSTALL REPAIR
<br /> PROPOSED USE Q SFR � COMM � OTHER
<br /> TYPE OF CONSTRUCTION � BLOCK � FRAME Q STEEL Q OTHER
<br /> DESCRIPTION OF WORK Insfall(2)71 square foot'CVS/pharmacy'mon�menh with'OPEN 24 MOURS'appendage and Elechonic Message Board
<br /> BUILDING SIZE SQ FOOTAGE »sq.ff.(per sign) HEIGHT �� "0��
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<br /> � BUILDING $ ZQ,OOO VALUATION OF TOTAL CONSTRUCTION
<br /> � ELECTRICAL $ SOO.00 AMP SERVICE � PROGRESS ENERGV Q W.R E.C. �
<br /> � PLUMBING $ �
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<br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION .�� c �e�� �(
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<br /> � GAS � ROOFING � SPECIAITY Q OTHER � ^„� �C�
<br /> �/ I
<br /> FINISHED FLOOR ELEVATIONS FL�ONE AREA QYES QNO � �`V �
<br /> F�,g Je,4`�w. y _, ,,�'.�`��4E.;�I^�'h:.s�,'�l`����",3'Witi`=xi.''k�"�k,�R'���+�- 9§9:'�"i �:li��a �X' -�vrx,�,'3_.#FYsS_7'.'q'k ki'.:�� �'
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<br /> BUILDER � COMPANY Anchor Sign,Inc.
<br /> SIGNATURE EGISTERED Y N FEE CURRENT y N
<br /> Address `� ES-0000291 �
<br /> License#
<br /> ELECTRICIAN L� f COMPANY Anchor Sign,1►IC.
<br /> SIGNATURE REGISTERED Y N FEE CURRENT Y N
<br /> Address License# ES-0000291
<br /> PLUMBER COMPANY -�
<br /> SIGNATURE REGISTERED Y/ N PEE CURRENT Y/N
<br /> Address License#
<br /> MECHANICAL COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
<br /> Address �
<br /> License#
<br /> OTHER COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
<br /> Address
<br /> License#
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<br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms
<br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster
<br /> COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms.
<br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster
<br /> All commerciai requirements must meet compliance
<br /> SIGN PERMIT Attach(2)sets of Engineered Plans.
<br /> ""'PROPERTY SURVEY required for all NEW construction.
<br /> .J�.��'"�.rd.,'4`i�,��F'.- 'k},rid',�5$4:r_� . . ,m-�:`�t� �`�k d R ' -�R 2-�"'..�-'k:"��..
<br /> Directions: ���: , _s .�, .;*.,a.>�_.�,,,�,��i ,..�_u:��t .u:.-�����;r-�m�,�j.,��.�A�a,�,�. a�- �.
<br /> Ftll out application completely
<br /> Owner&Contractor sign back of application,notarized
<br /> If over E2500,a Notice of Commencement is required. (A/C upgrades over 55000)
<br /> " Agent(for the contrector)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 Sewers Service Upgrades A/C Fences(PIoUSurveylFootage)
<br /> Driveways-Not over Counter if on public roadways..needs ROW
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