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a�sasa-oa2o City cf Zephyrhills Permit App{icatian Fax-813-T80-0024 <br /> " Building Department <br /> .. � <br /> Date Received Phc ne Contact for Permttting 81,3 ��q"�'-19� /"nt�N�� <br /> � <br /> Owner's Namer 2�� ✓�"►""��N A T�.�� Owner Phone Number �!� " 7�3 - �9�i 3 <br /> I <br /> Owner's Addri:ss 3 ��"� Z �� �- Owner Phone Number �� <br /> Fee Simple Tltieholder Name Owner Phone Number � 1 <br /> Fee Simple Titleholder Address � <br /> � <br /> JOB ADDRES:� °3�b `� m eadou3 Loo P Ze.Q�,rsY��tt S �L 33�� z LOT# 3� <br /> � <br /> suaoivissoN a voa� �s T�7'�c5i PARCEL tD# 3-2��21`�IyO�o0000 -� 3 bo <br /> (48TAINED FROM PROPERTY TAX NQTICE) <br /> WORK PROPGSED e NEW CONSTR i ADDJA�T � S1.GN Q Q DEMO�ISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR E COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK ( FRAME C� STEEL Q <br /> j� /� � _ _ �__ <br /> DESCRIPTION OFWORK T�N S l � I9 ;� (77- G ,4��nJ �.�'NI{. �NL� pN ��GIGS+(3Ack' .inl5i Ld.: <br /> ------/----, - - - <br /> �� 3L� o�F v�NY�wtT1,'�. <br /> eui�o�N�size sQ�oo����C� NEicHr , 6p-�-e,g <br /> �...—._.. � <br /> BUII.DiNG � l��.. 2 � VALUATI�N OF TOTAL COtVSTRUCTION <br /> i <br /> QELECTi2tCA{. �� �AMP SERViCE Q Pf20GRESS ENERGY Q W.R.E.C. <br /> �PEUMBtNG ���� � � � �!'"� <br /> � • � � �� <br /> QNIECHANtGA� $ VALUATION OF MECNANICA�.INSTA�LATtt}iV � f <br /> V <br /> �GAS '' Q ROQFtNG SPEGtA�TY � {?THER �"— <br /> FINISHED FL04R ELEVATIONS FLQOD ZONE AREA QYES NQ <br /> ithtiitiii-ttft <br /> BUlLDER � COMPAFIY LU LtJ_�� (�amQ C��TeR-S L.L�, <br /> SIGNATUI2E � REGISTERED r�- �Y"/ N� ' FEE CURRE� Y/N <br /> Address Llcense# �� � <br /> ELECTRtCiAN i� COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� ��_� License# �� I <br /> PLUMBER `� COMPANY <br /> SIGNATURE I REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address ` .� Lfcense# �— <br /> � <br /> MECHANtCAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � � License# � � <br /> OTHfR � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �— �� License# � � <br /> ttFfifii-ttftttt <br /> f3E5{DENTi_AL Attach{2}Ptot Plans;(2)sets of Building i�lans;t1}set of Energy�arms;R-O-W Permit for new canstruction, <br /> Mlnimum ten(10)wol'king days after subnllttal date...Required onstte,Constructlan Plans,Stormwater Plans w/Sllt Fence Installed, � <br /> 6anitary Faciifties&4 dumpster,Slte Wor�t Permlt for subdivislansttarge pro�ects -� <br /> CQMMERCIAt. Attach(3}compiete sets of Buiiding Plans p�us a Life Safety Page;(1)set af Energy Forms.R-O-W Permik for new consUvction. <br /> Minimum ten(10)working days after subn,�ittel date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanlfary FacHifies&1 durrrpster.Slfe War Permlt for aH new prajecks:Alt commerclai requirements must meet comptlance <br /> SIGN PERMIT Attach(2)sets of Engfneered Pians. <br /> ""'PROPER'fY SURVEY required for all EW constructlon. <br /> =I� <br /> Directfons: <br /> FIlI out appUcatton completely. <br /> Owner&�ontractor sign back of applicatian,notarized <br /> If over 52500,a Notice of Commencement is requirecl. (A/C up�rades over yT500) <br /> " Agent(for the contracfor)ar Power of Attomey(for the o�� er)would be someone with no#at3zed letter f�om owner authorizing same <br /> OVER THE CCIUNTER PERMITPING (Front of Applicat�an Only) <br /> Reroofs if shin�3lss Sewars Servfce Upgrades A(� Fences(PIoUSurveylFookage) <br /> Driveways-Nat over Counter if on public roadways..nee s ROW <br />