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OIJ�76V'VVGU C;iry ofi Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Deparkment <br /> Date Recelved Phone Coetact for Permittin <br /> Owner's Name � IQ U M Q Owner Phone Number ��� � 7ea��'-��� E� <br /> Owner's Address -J ` L0.I�e �c' n ��, sC C.�� Owner Phane Nar�ber ��` � <br /> Fee Simpte Titleholder Name �}�2V�N ���'ZU M��dJ L. � Owner Phone Number � �� <br /> Fee Simpie Titiehoider Address 7 t 7 L�-��ri�G�Y� �"� 1�i Y^ • �,y f L ,,} 3 Q' <br /> J08 ADDRESS t�� p� � ,�� • �„ ^� � Z� LQT# C^� �I <br /> sugQ�vis�a� PARCEL ID# i��a.� ~a� -o� 1 �- ��9�° —o t 11 G� ' <br /> � (OBTAINEO FROM PROPERTY TAX NOTtCfi} <br /> WORK PROPOSEb e NEW CONSTR 8 ADQlAIT � SIGiV Q Q DEMOIISH <br /> INSTALL REPAIR <br /> PROPOSED USE [� SFR Q COMM C] QTHER <br /> TYPE OF CONSTRUC710N Q BLOCK Q FRAME � STEEL Q <br /> DESCRIRTION OF WORK ��Q��-c�� �l c+�.�rl`�-� �+Y�s M r-�'e..n( V W� <br /> BWLDING SIZE �— � SQ F40TA6E C_� HEIGHT �—� <br /> QBUILDING � � VALUATtON OF TOTAL CORtSTRUCTtON <br /> �ELECTRICAL $ S��Q , p a AMP SERVICE [� PROGR�SS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � �f�� <br /> QMECHANICAL $ VALUATION OF MECHANICAI.INSTALLATION <br /> ��� � <br /> [�GAS Q RQOFING Q SPECIALTY �� QTHER <br /> FINISHED FLOOR ELEVA710NS ��� FLOOD ZONE AREA QYES NO I <br /> I <br /> --�--,..,_,,.. � <br /> BUILDER �,�,,.a_..,�C� coM�a�nr �R�r✓ G�� �-tw �� ,,��-(_„ <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y!N � <br /> Address License# �— � <br /> ELECTRICIAN CQMPANY <br /> S1CyNATURE REGISTERED Y/ N FEE CURREt� Y/N <br /> Atldress License# ��� '� <br /> PLUMBER � CQMPANY <br /> StGNATURE REGISTERED Y/ N FEE CURREI� Y/N <br /> Address C3cense# �` "`� <br /> MECHANIGAL COMPANY <br /> SIGNATURE _� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address (.p��ss�# �` --� <br /> OTHER COMPANY <br /> StGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address l.Icense# �i � ^� <br /> RESIDEN71Al Attacfi(2}Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permtt for new conshuction, <br /> Minirrtum ten(10)working days after s�bmlttal date. Required onsite,Construcfion Plans,Stortnwater Plans w/Silt Fence installed, <br /> SaNtary Facilities&1 dumpster;Site Work Petmit for subdivfsionsllarge pro]ects <br /> COMMERCtAL Attach(3)complete sets of Buflding Plans plus a Ufe 5afety Page;(1)set of Energy Fortns.R-O-W Permit far new construation. <br /> Minimum ten{1d}working days after submlttal date. Required onsite,Constructlon Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Factlities&.1 dur►�pster.Site Work Permit far al!new proJects.AEI cammerciai requirements must meet c�mptiance , <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '*"PROPEi2TY SURVEY required for ati FiEW consfnaction. <br /> Directtans: <br /> Filt out appiication completety. <br /> Qwner 8�Conhactor slgn back of appfica#on,notarized � <br /> If aver 32500,a Notica of Commencament ts required. (A!C upgrad�s over S75Q0) � <br /> '" Agent(for the conbractor)or Power of Attomey(for the owner)would be someone with natadzed letter from ownet authotizing same,. �I <br /> DVER THE COUNTER PERMITTING {Fronk of Applicatio,n Only)' ""� "' �, . . , , � � � <br /> Reroofs if shingles Sewers Service Upgrades,A/C; ' �Fences'(PIoUS'urvey/Footage) � � <br /> ' , "' ` . - <br /> Driveways-Not over Gounter if on publtc roadways..needs ROW � ; .. _ . , - <br />