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E 813-780-0020 City of Zephyrhills Permit Application F�c s�s-7sa-aa2� <br /> ° Building Dapartment <br /> Date Rsceived r phane Contact for Permittin 15�.� �� -� ��� <br /> Owner's Name �O �Le C.� . "J 05� Owner Phone Numbar D `� � ���"' �/d� <br /> Owner•s Address (C�� . �. ��L� �V Owner Phone Number �— � <br /> Fee Slmple Titieholdar Name ��`� �� Owner Phane Number � � <br />� Fee Simple Titlebolder Address <br /> ,�oe,Ana�tess .�1�'f-�' .5 � er� G� H' I'��fit-1..,s, ��. �'��'� �oT# l�� <br /> SUBDIVISION �� —T) PARCEL ID# I� �!� �d �!D ���'DD DD/ � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WC1RK PROPOSED � e NEW CON57R�ADDIALT �� 81GN [� [� pEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFF2 Q Ct�MM Q OTHER <br /> TYPf OF GONSTf2UCTiOt� Q B�OCK Q FRAME C] STEEI [� <br /> DESCRIPTION OF WORK ����-° �`�� L�G'� �1Cdlf �'�-T- "�� �4 yr"l a�t1���'S <br /> BUILDING SIZE �-��1 SCl FOOTAGE�.� MEIGHT <br /> 08UILDiNG �� VALUATION OF TOTAL CONSTRUCTION <br /> � [�EIECTRIGAL {$� AMP SERViCE Q PROGRESS ENERGY Q W.R.E.C. <br /> �__._ <br /> � QPLUMBtNG ��� <br /> � <br /> �� QMECHAMICAL $��-p-��p VALUATlON OF NIECHANICAL thlSTALLATt{�N <br /> �i d <br /> QGRS Q ROOFING Q SPECIAI.TI � OTHER <br /> F!NlSHED FLOQR ELEVATIQf1S r� ..�� F1.00D ZONE AREA QYES NO <br /> � <br /> BUi�DER COMpANY <br /> SIGNATURE REGiSTERED Y t N FEE CURREh Y I N <br /> Address Llcense# �� � <br /> EEECTR(CIAN � CBMPANY <br /> SIGNATUIZH REGIS7ERED Y I N FEE CURREh Y J N <br /> Address License# �— � � <br /> PI.UM�ER � � COMPANY <br /> � SIGNATURE REGlSTERED Y/ N FEE CURREA Y t N <br /> Address License# ( � <br /> MHCHANICA! � � ����h✓ coM��nr ��t1R`5 �'�A�'rJ�t�-t �G° �'�!'� <br /> SIQNATURE REGISTERED Y/ N fEE GURREE Y I(U <br /> Address ��71 ��E�c3� � �C° llt f/l1-�S License# ������''r'/�'�� <br /> OTNEEt COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE GURREA Y 1 N " — <br /> Address Llcense# � � <br /> RESIDENTIAL Attach(2�Plot Plans;(2)sets of Building Plans;(1)set of Energy Forn�s;R-4-W Permit for aew construcUan, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucHon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facitities&1 dumpster,Site Work Pertnit for subdivlsionsflarge projects <br /> COMMERCIAL Attach(3)complete sets af BuildEng Plans pius a Life Safety Page;{1)set af Energy Farms.R Lt-W Permit for new canstrUC�an. <br /> Minimum ten(10)working days'after submittal date. Required onsite,Canstructlon Plans,Stdrmwater Plans w!Sllt Pence lnstalled, <br /> Sanitary Facilitles&1 dumpster.Site Work Permit for all new projects.Al)commercia)requlrements must meet compilance <br /> SIGN PERMIT Attach(2}sets of Ersglneered Plans. <br /> "`*PROPERTY SURVEY required for al!NEW canshucUan. <br /> Qlrectlons: ` <br /> Ffll out applicatlon completely. <br /> Owner 8 Contractor slgn back of appifcatlon,notarized � , , <br /> if over 52500,a Notice of Comme�cement is reqaired. (AiC upgrades over�T580} , - �`` ` ', <br /> " Agent(for the conUactor}or Pawer of Attomey(for the awnar)wauld be someone with notarized tetter ftom owner authorizing seme <br /> OVER THE COUNTER FERl�IiTTiNG (Front of Appllcafion Oniy} � <br /> Reroofs if shingles Sewers Senrice Upgrades A!C Fences{PIoUSurveylFoatage) <br /> Driveways-Not aver Caunter iF an pubtic roadways..�eeds ROW ' <br />