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_ t3,��� <br /> ` ' e�saao-0ozo City of Zephyrhills Permit Application Fan-813-780-0021 <br /> Building DepaAment . �� <br /> y'y+ ['saf�teceived i j <br /> T�� Phone Contact for P rmftt g 13 7S0 - A 22 3 <br /> Owner s Name T� ; �.L Owner Phone Number '7'J2"q 3 <br /> Owner's Address 1 b02� �7�fit �n T q pFwner Phone Number <br /> Fee Simple Titleholder Name C:�` ��� O�r Phone Num6er <br /> Fee Slmple Tltleholder Address 53�� * S�-/CG} '�•1 �}�J �s �� 33 Sy;L <br /> r <br /> c�r�r �s- JOB ADDRESS/� ) I! 'r Or'� LOT p � <br /> J"L7 �0 �ViA�"i�.'� .,'4�c!. <br /> SUBDIVISION CEL ID# ��J'�'L����OOO'DO�d��C�JS <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> e INSTALL REPAIR �,% <br /> PROPOSED USE Q SFR �COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK l�'�f�J��.���{ (;� C���`J `y'i �1..�'�T�i ni5" .c�.v r.j `+� <br /> BUILDING SIZE I D�lV�d�C ZO�g SQ FOOTAGE �o�0� HEIGHT 20'8,/ ZS �� <br /> ��`UILDING $ VALUATION OF TOTAL CONSTRUCTION i <br /> , �BQ � <br /> �, �� <br /> ECTRICAL $ �q�,�� AMP SERVICE ��� Q PROGRESS ENERGY Q W.R.E.C. �oG � <br /> s. <br /> � �� 1�A�. �� � <br /> PLUMBING $ a ���,`� , � <br /> �CHANICAL 1 1 1 `� � (���'" , pp` �, <br /> $ �,�•�� VALUATION OF MECHANICAL INSTALLATION `J ,►„y �9 <br /> ,,(US,���--.� • <br /> �GAS Q ROOFING Q SPECIALTY � OTHER ��1�p'�' <br /> FINISHED FLOOR ELEVATIONS ri'���5 FLOOD ZONE AREA �YES NO � `�'i�'p� �li � ��'S/ <br /> O A} (/ � <br /> 'V <br /> BUILDER � COMPANY �'"''� L"���� C'�C.�G�—{� ������,� <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address ?.s�Z r� P�k 41� �itrL'�' • FL 335�3 Licenselt C �S�Sy G , <br /> ELECTRICIAN , GG �bRiPANY ���+�/ � ��/ �/'�j���;yf'_�� <br /> SIGNATURE S Q�;a EGISTERED Y/ N FEE CURRE� Y/N r �-��=�7�� <br /> �n � �� r <br /> Address License# ��rµ+� 1 �'"'P')_� <br /> J���`.► � s,� <br /> PLUMBER n � OMPANY <br /> SIGNATURE �,�J � REGISTERED Y/ N FEE CURRE� Y/N � <br /> Address � License# - <br /> .{. - � � .. �v ���9, `-� <br /> MECHANICAL /_G� �, �COMPANY 1'-�k!�� � ��f"M�� ' <br /> SIGNATURE � Q• � REGISTERED Y/ N FEE CURRE� Y/N �iF��I�1`i� ��c <br /> (A� <br /> Address License tl <br /> OTHER Q� COMPANY � t1 �IT C.O►�$'� �dUc <br /> SIGNATURE ��� , �- GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIilllllllllllltlllllllllllllllltlllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;('I)set of Energy Fortns;R-O-W Permit far new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sill Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)camplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit tor new conslruction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit far all new projects.All commerc:al requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out applicalion completely. <br /> Owner&Conlractor sign back of application,notarized <br /> If over E2500,a Notfce of Commencement is required. (A/C upgrades over E7500) <br /> " Agent(for the contractor)or Power of Ariomey(for the owner)would be someone wilh notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIT'fING (copy of contracl required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />