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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received ,09— O G—ZO I.7 Phone-Contactfor ParrrlErtin 3. 5 <br /> Owner's Name LA�MAAG ,f 6k)OAA 4 BOAJN f�t 'T- Owner Phone Number �3d q��O9ro-BLOC <br /> Owner's Address qu A•.µ wrP Rt1. PEORIA IL <br /> 6160q_y74 Owner Phone Number •�� <br /> Fee Simple Titleholder Name I N o Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS E6, -7 .207W Sr. rso#YAM"I R, 33 5(fZ y7eq LOT# <br /> SUBDIVISION PARCEL ID# 1 26 Z{-"0010 .11000 010BQ <br /> (OBTAINED FROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED NEW CONSTREJ ADDIALT' r,� SIGN;- Q" ~`.0 DEMOLISH <br /> e INSTALL ,: REPAIR <br /> PROPOSED-,,USE SFR -COMM -OTHER JAASW VIVOWMIWC-1 <br /> TYPE OF CONSTRUCTION : [�`` BLOCK FRAME d�"" ' 'STEEL <br /> DESCRIPTION OF WORK., Ab.�tftod alp A9• AVO0DJ�t R���r A � JA V COX <br /> BUILDING SiZE X Z� T+ �X l r '(`Sq,FOOTAGE 113 4/�- ..HE1 HT ' l` �� d <br /> CE�BUlLQtNG $7Z,�0,00 o� VALUATION:OF`TOTAL-CONSTRUCTIoN <br /> ELECTRICAL $/�/ �/7S po AMP SERVICE �0 P O&M EI ERGY Q W.R.E.C. <br /> PLUMBING• $ <br /> MECHANICAL $ - Q�8 .d0` VALt74kTtON OF:MECHANCCAi_tNSTALLATEON <br /> =GAS ROOFING :Q SPECIALTY r77-1 " OTHER <br /> FINISHED FLOOR ELEVATIONS /7 FLOOD ZONE AREA C]YES. NO ' <br /> �1.p�rchi�Xisn,�l c•, <br /> BUILDER 5. /� ifltiL� D/t1 j / C. <br /> SIGNATUREa 'Co.PANY` Y/ N FEE CURREN Y/N' . <br /> Address 39t�3$C1 td ell,ta+k. Z JlLs,�e 3.��s�Z UCense# CGa04 boll <br /> ELECTRIC", U <br /> PANY oI/Z--�,t tzz--�t t <br /> SIGNATURE G% % REGISTERED I Y/ N 1 FEE'CURREN,, <br /> Address �] /��f•C'�1 ( l License#, / 06. '((�� y� <br /> PLUMBER" CO P /, ;,SAW <br /> SIGNATURE' REGISTERED. Y_/-N< 4FEE•CURREK <br /> Address <br /> MECHANICAL. ~I�C <br /> SIGNATURE REGISTERED Y./N_ FEE_CURREN: <br /> 11 / ILL <br /> Address` l `� ) ! h license,# :.(f7� T�r . I <br /> OTHER <br /> �,�/ ,COMPi4NY <br /> SIGNATURE: `REGISTERED' Y/ N::;r '.FEE CURREN' Y/N <br /> Address'. ,. Q GTi9EG. /K. z-yitlGS� Lt 3354�2: CtCO 1 1 <br /> RESIDENTIAL'.. -;A ct5 .r.. <br /> tta • 2„Rlot�.P.lans.(2)sets=of'Buliding!Plan's ('!)sefof�Ersergy�Foims;,RO�1N'Rernit for-'new i*nsWctiosi, <br /> Minimum;ten°(1,t))working�days afker'suttmlttai datefi Required onsite;_Gan'stnicBon.Pians;StonnwateF Pians wTSIIt Fence installed, <br /> ::c.:::• ...:._ .. <br /> Sanitary Fecjllties,8�a1-:,dumpster Site Work„Perrnittor,subdiyislons/Iarge;projectsY_:___•:;:.-: <br /> COMMERCIAL Attach(3)oomptete'set"s'bf'B`uildlWPlaits plus i Ufe Safety Page;(1)set of Enezgy Forms.R O-W Permit for new construction. "= <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stomrwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new:proldcts.-All commercial requirements.must meet compliance' <br /> SIGN PERMIT Atta6i►(2)sets of EitgliieeyredPians ~ '.. .:• . <br /> "'PROPERTY SURVEY required for all NEW construction... . <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. (AfC upgrades over$7500) <br /> '• Agent(for the cantrabtor)'or-Power of Attbmey(for the"ow6be)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING.. --; (Frontof-Application:Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways:.needs ROW <br />