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�` � 813-780-0020 City of Zephyrhills Permit Application Fax-$13-780-0021 <br /> ' Buiiding Department <br /> Date Received <br /> Phane Gontact for Permitting ) - <br /> 'rT�T�'rn-'�����:r-r-E--r-�_. <br /> �/� � O��Narrl Ci�FPv un��r��ar nar�ni�r rc�-rnT�� <br /> ��v GG 77-fOTODTC'CCS7'1}�{1�F7 Owner Phone Number <br /> t'����t�t�pwnet Oddress 3$695 WNS{htG AVE ZEPHYRNILLS pwnQrPhane Number -� <br /> Fee Simple Tideholder Name SAMF � Owner Phone Number �� <br /> � <br /> Fee Simple Titleholder Address SAME <br /> JO$ADDRESS ����8�����AVE LOT SO.rJ I.OT# C� i <br /> suso�vEs�aN SLEEPY HOLLOW MOBIL pqftCELip# 02-26-21-Q010-05004-0030 � <br /> I <br /> (OBTAINED FROM PROPER7Y TAX NOTtCEj � <br /> . WORK PROPOSED e NEW coN57R 8 ADD/ALT �] SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PRQPOSED USE � SFR Q COMM � OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � S7EEL Q <br /> DESCRIPTION OF WORK REFLACE METER POLE <br /> I <br /> BUI�DING S2E �� SQ FOOTAGE� HEIGHT � <br /> QBUILDING r6 � yALUATION OF TOTAL CONSTRUCTION <br /> L <br /> �ELECTRICAL $ $�� � AMP SERVICE X� PROGRESS ENERGY Q W.R,E.C. / <br /> �PLUM8INC, �� ' `1�..3 <br /> - '� �`� '' I <br /> QMECHRNlCAG $ VALUATIQN pF MECHANICAL INSTALLATIpN � � <br /> � ' <br /> ' QGAS Q RpOFING Q SPECIAL7Y � OTHER I <br /> F]NISHED FCpOR EL�VATI4NS �—� FLOOD ZONE AREA DYES NO <br /> i <br /> : i i i p 3 : S Fini 5 ii.�ii7613-6 iG iliJ- <br /> BUILDER � � COMPANY � /�j� <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N ��/J <br /> ._ 11 <br /> ��Address i icenss# � ' !��j i <br /> (r' <br /> ELECTRICIAN COMPANY EAST PASCO ELECTRIC, INC <br /> SIGNATURE REGtSTERED Y I N FEE CURREA Y 1 N <br /> Address 10624 US MWY 301 DAD CITY FL l.icense# EC13003069 � <br /> PLUMBER � � COMPANY � <br /> SIGNATURE RE6ISTERED Y I N FEE CURRE� Y/N <br /> Address License# �_ � <br /> MECHANtCA4. � � COMPANY � <br /> SIGNATtlRE REC,ISTERED Y I N FEE CUftRER Y J N <br /> Address License# �— y� <br /> OTHER � � COMPANY —� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address L3cense# �_— � <br /> 1111111111111111111111111111111111111111111111111111111111111111111 I <br /> REStDENAA� Attach{2)Plot Plans;{2}sets of Building Plans;{])set of Energy Forms;R-q-W Permit for new construction, <br /> Minimum ten(10)warking days after submitta[date. Required onsits,Construcfion P2ans,Sto[mwater Plans w!Sitt Fence instalted, � <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge projects � <br /> COMMERCIAL Attach(2)complete sets af Building Plans plus a Life Safety Page;(1)set of Energy Fprms.R-p-W Pertnit for new construction. � <br /> tvtinisttum ten{10}wosicing days after submittai date. Required o�site,Construciion Pians,Stomtwafer Pians wt Siit Fence insta}led, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for aIl new projects.ASI commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. ', <br /> ""PROPERTY SURVEY required for all NEW construction. , <br /> , <br /> Directions:� <br /> Fiil out application oompletely <br /> Owner&ConVactor sign back of applicaGon,notarized <br /> If over 52504,a Notice of Commencement'ss required. (A!C upgrades over 57500) ' <br /> " Agent(for the contractor)or Power of Attamey(for the owner)would be someone with notarized lelter from owner authorizing same <br /> OVER THE COUNTER PERMIT'fiNG (copy of cpntract required} <br /> ' Reroofs if shingles Sewers Service Upgrades AtC Fsnces(PlottSurveytFootage} <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />