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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departmen# , y j <br /> ����'�"r ZI�J�:1/"'�t�G/!`!']C7l�D/`�� G't3�/�"� <br /> Da#e Received Phone Cantact for Permitting -- <br /> Ti-i"TZ- T <br /> Owner's Name �. y�i GS es �.-, � Owner Phone Number ��CZ�. �- ��+ D <br /> � Ia�aa't,��� �a � �f �`,����3�' � <br /> Owner's A dress �Owner Phone Number �� � <br /> Fee Simple Titieholder Name ���~rr. '�,, � � Owner Phone Nuinber �— � <br /> 1 . <br /> Fee Stmple Titleholder Address ���� <br /> J08 ADDRESS ��'/'✓'�� C�-+�"'8"'� t'�'i�•� `' � LOT# �� �/ <br /> SUBDtV1Sl I N J�1 � ta�/^G ,�i�� PARCEL ID# ��`Y�'F''�f 'Ci�.+`�G `� C�`� � '��'fL� <br /> , (OSTAINED FROM PAOPERTY TAX NQTICE} <br /> WC?RK PR�POSED �NEW CONSTR 8 ADD/ALT C� SIGN � Q DEMOLISH <br /> INSTALL. f�EPA1R <br /> PAOPOSEp USE �"r SFR Q CQMM � C}THER <br /> 'TYPE OF CQNSTRUCTIQN C� BLOCK Q FFtAME � STEEL Q <br /> DESCRIPTII N OF WORK �'1e.."tJ� J���1cT•cr'r�.1 �, r`�Sac.��r�G'e- ��"cfl b��-� --'�04` <br /> BUi�DING S1ZE �� � SQ FQOTAGE �L�� HEIGHT ��� <br /> �B «'���� � � .��'"' �i�� VALUATION OF TOTAL CONSTRUCTION <br /> , <br /> [�E ECTRICAI $ ��6�,� AMP SERVICE � PROGAESS ENERGY [� W.R.E.C. <br /> �P�UMSING $ „�.. <br /> 5 �� ,�`� �i <br /> �MEGHAWCAL $ ��� VALUATiON C}F MECHANICAL INSTAUATION <br /> OG� 5 �� RQOF]NG SPECIALT`! OTHER <br /> 0 � <br /> FINISHED LOOR ELEVATIC?NS ��� �� FLOOD ZONE AREA �YES NO <br /> � <br /> .,1-i-i-f�- 1-�-1�+.1--1•�-1-�1�-1-'••+--:-�-•�--•-f--1..1-',--*-�-�-�•-f••i--f-1-�•-i-•l--i..G-. . . . . . �,�,,,;,T <br /> BUILDER � ��� �= COMPANY <L�'� 7� - �c1�d'^+ �.,�}'L�- <br /> SlGNA7UR � <br /> REOtSTERED Y) N FEE CURRE� Y/N <br /> Addre�s 1��dr��.C"��"CO r+") �r' I� �-- , ��-�pC.G��Q�cs � � <br /> License# T.� <br /> ELECTRICIAN ���,..-� � COMPANY ��%� �tJ'����� �t �'��r� �- <br /> 51CNA7UAE ��� REC3ISTEFiED Y/ �1 FEE CURRE� Y/N <br /> �� N ,{��...___. --- <br /> Address J t�i i��� /�sc��G r'r* �'�- License# ������� C�� � <br /> PLUMBEFt � /� .��,.��,,a�� . COMPANY l,�''�!""/'1 �r'�S"�Td /'L `E�--�(1"�..�. <br /> SlGNATUF�E `'" � REGtSTEflED Y J N FEE CUARE� Y I M1t <br /> Addres�s ��� l� �(„)' � �v� �� License# ��C ���$�d� � <br /> iV1ECHANIC I L . ��.o'�,-'o� COMPANY ` �"G7�l"��j i L.�L.. C��!`�J t� J'"�"�-C.�» f <br /> SIGNATUR i RECatSTERED Y J N FEE CURRE� Y J N — i <br /> Address ��0'7 c S�j c,,�°�'�. ,��;e�,�-,�'.�C.�+� License# l,vf-T e.��J(�fP�� � <br /> 51GNATUR ��'"'�'� �aMPANY �I.i E�.G-r'r:,� �C3GH- 1 �"'► <br /> REC,3STERE6 Y/ N FEE CUFiRER Y j N <br /> Address ,fp�'��� �'�la .��'" �e�.*ri �' License!f (;� �J�� � !�� � <br /> itii [ itillititltlltlill111111111111111111111I1111111111111111I11111 <br /> RESiDENTi�L Attach{2}Plot Ptans;{2}sets of Building Pians;(1}set of Energy Farms;R-0-W Permit for new construction, � <br /> Minimum ten(10)working days after submittai date. Required onsite,Construciion Plans,Stormwater Plans w!Sitt Fence instai(ed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions(large projeots ���� <br /> C4MMERClAC. Attach(2)comptete sets of Buiiding P(ans p�us a Life Safety Page; (1)set of Energy Forms. R-O-W Permit for new canstruction. <br /> � Minimum ten(10)working days after submittal date. Required onsite,Canstruction Plans,Starmwater Plans w!Silt Ferice instalied, <br /> Sanitary Facllities&1 dumpster.Site Work Perm3t far al!new projects.A!!commercial requlrerr�ents must mesi compiiance <br /> SIGN PERM T Attach (2j sets of Engineered Plans. " <br /> ****PRQPERTY SURVEY required for alt NEW construction. <br /> -'-.-.:.-:-:��1-.{.�I�f.�1..1...1..�-.i�1..1-.1...� . . . . . . . . . . !-t�i..l.�i..i..l.-i-i...t-a--i�I...I�a..t-.i�i..t-i..I..` ■ . . . . , . . .,-�:...1-i..#-I.-I.. <br /> Directions: ( <br /> Fi!!out application completely. , <br /> Owner&Contractor sign back of application,notarized " `" <br /> if over�2800,a Notiae of Commenceinent is required. (A(C upgrades over$75QOj <br /> ** Agent(f�r the contractor)or Ppwer of Attorney(for the owner)wc�uld be someone with notarized leKet frQm ownQt authorizing same <br /> OVER THE C�OUNTER PERMITTING (copy of contract required) , <br /> Fieroafs if shi�gles Sewers Service Upgrades A/G Fences(Plot/Survey/Foatage) ' ' <br /> Drivew ys-Not over Counter if on public roadways..needs FiOW <br /> I . . <br /> , <br />