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i <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 � <br /> Building Department <br /> i <br /> Date Received �Z 7/ � �(� �]Q� _ ���� <br /> Phone Contact for Permitting i v � <br /> Owner's Name S�f ISe �rD�er-heS dF`�x�r{'1��Ls��G, Owner Phone Number ' <br /> Owner's Address �2o For+ K.�nS Rd.� �h�-4-a f�� � 335�(z Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �EU35 Co''�'e��s. Dr. LOT# � <br /> SUBDIVISION � ��0'Ce' ���r PARCEL ID# �a�� -ZZ-0010-pC�Oc�-OOSU <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER I <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK New (v��-a..l (3u:��dcn5 Iajli�Ic�bw{- <br /> BUILDING SIZE SQ FOOTAGE ����� HEIGHT �� Or I�5S <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> q3 a. C�Z�j '" <br /> �ELECTRICAL $ �I�' S�_, AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING $ ��(�p � ��� <br /> � � <br /> �MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION � <br /> J��(1C� — <br /> OGAS � ROOFING � SPECIALTY � OTHER <br /> � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> � <br /> BUILDER �fY1C,�n (�'1r�S�rl.�(Z6r�O� F(arida � �'�c. , <br /> COMPANY <br /> SIGNATURE REGISTERED Y N FEE CURRE� Y N <br /> Address ��3 5R �'{� �. h 1-l�i�lls� ,�2 3'v5�(I � <br /> License# ��C- 15�`���2- <br /> �� ELECTRICIAN � COMPANY M��`� t�eck�icr �'�C]� <br /> 3 J�y SIGNATURE ' REGISTERED N FEE CURRE� N �w�7�� <br /> d2i�� Address p I�J�x�k3`1, �ic�c C( F�. 3'�'�� License# �1.� ✓V�`� c3 ��� <br /> PLUMBER , � COMPANY �(ph'n Pl`"`-mbir� <br /> J <br /> SIGNATURE REGISTERED / N FEE CURRE� Y N � <br /> Address � �05� 3�-.3�� �p`� 11'i�l� F"c.. 3�6�1 License# �`�- ��Z�j 2-O�( <br /> MECHANICAL �; /��j� ��///,y���/�� COMPANY l"-�`�'if5 A(�' { <br /> SIGNATURE `'°'��'" ' ��i��`�-�W/�`�-/i�� REGISTERED N FEE CURRE� Y/N <br /> Address 4�U� ���' ��•i �<<<5� � 33�E1 L.icense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsiYe,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities�1 dumpster;Site Work Permit for subdivisions/large projects <br /> rc�1YI�I�Rr�pi___Attach;2)cemplete sets of B�ildir.g Plans Flus s L:fe Safaty Paya;(4)set cf Er�ergy Fcrms.-R-J:4'�'��mit-for-nevrccrs�ructio�.- - ' - -- <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY required for all NEW construction. <br /> �I�i�1�t_1 • <br /> Directions. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> � .-,:...�_,. <br /> " Agent(for the contractor)or Power.of,:AttQtney.(fnr..the-owner).wo�fd:be�sdmeone with notarized letter from.owner authorizing;same . ^ <br /> OVER THE COUNTER PERMITTING" '� (copy of cont�act required��':';`;: �;? ' ' • - ' � <br /> Reroofs if shingles Sewers $ervice Upg�ades A/C Eences�.(Plo�t/Survey/Footage) � y,;, -� - <br /> ';_ :, , _ , , ,. • i <br /> Driveways-Not over Counter if on public roadways:'needs ROW-''•-'�;,' `; ' , , � <br /> � � . ` v� . .. � � r"'".Yl . �y�w �K: �.-.� ._ _. .i �y . <br />