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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received Phone ConWct for Pertnittin 813 806 7040 <br /> �rr_�rr- -- <br /> Owners Name Bolender Investments Inc Owner Phone Number <br /> Owners Address 38461 County Road 54,Zephyrhills 33542 Owner Phone Number —� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 39254 South Avenue,Zephyrhdls 33542 ��T� � <br /> SUBDIVISION PARCEL ID# �3-26-21-0010-00000-0010 <br /> (OBTAINED FROM PROPER7Y 7AX NO710E) <br /> WORK PROPOSED B NEW CoN57R 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> � INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> NPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q —1,. <br /> DESCRIPTION OF WORK Install low voltage burglar alarm secunty system <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> 1'T''r�r'r-'r`T'r r''r''r r r r r r'r�r'r'1''r'�''1''r'r T <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $199 pp AMP SERVICE � PROGRESS ENERGY � W.R E.0 <br /> �PLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS 0 ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> • 1-i-�.-I.-R-�.d-i- <br /> BUILDER COMPANY <br /> SIGNATURE REG�STERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> E TRICIAN COMPANY ADAMS,KEVIN DBA ADT LLC <br /> GNATURE R eISTERED Y/ N FEE CURRE� Y/N <br /> Address 71 W WATERS AVE,TAMPA 33634(SUITE 1000) License# EF20001034 <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �—� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREf. Y!N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIi1111111111111111111111111111111111111111111111111111111111I <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)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdrvisions/large projects <br /> COMMERCIAI Attach(3)complete sets of 8uilding 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 onsite,Construction Plans,Stormwater Plans w/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,notanzed <br /> If over 52500,a Notice of Commencement is required. (AIC upgredes over 57500) <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 PERMIITING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />