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813 - 7800020 City of Zephyrhills Permit Application Fax -813ae0.0021 <br /> • / !, Building oeperarerht - I ! I � / <br /> Date Received f — l 0 o Phone Contact for PermIthne 6 J - tLi I rr' _,' (p <br /> Owner's Name VI - ,( _ Owner Phone Number 1 ?j "��Q ul �} ' i g Q I <br /> Owna's Address . ,_ . _ . r •. fi t.: �eaher Phone Number I$1 ' 1�,3 95 t% <br /> Fee Simple Titleholder Name tips, Owner Phone Number <br /> Fee Simple TRlsholder Address <br /> JOB ADDRESS 3131 12AD / ,� �� 3 ` nO1 2 _ Ge plf 1 \Y h1l 1J � / � LOTiff 1 ;* K <br /> SUBDMSION M\c OOH rt� PARCEL KM I c7 ^ �1v ' P-1 - C)OO ' CON CO O 'O C]a <br /> (OBTAINED FROM PROPERTY TAIL NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT Q SIGN El MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 v SFR 1 1 COMM n OTHER <br /> TYPE OF CONSTRUCTION n BLOCK 1 FRAME Q STEEL [ / OTHER mil l c' to . c al I <br /> DESCRIPTION OF WORK Seer kkko park nrrcid Cr e.place to.ri) V tS1 Dream Fh-rt. <br /> BUILDING SIZE LIZY X 3L 1 SG FOOTAGE 14 D 3 HEIGHT I <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION cL4 " <br /> ELECTRICAL 11111111111111116111 AMP SERVICE r� PROGRESS ENERGY n . - .E.C. is of <br /> 1 •,./ PLUMBING <br /> iimiliii MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' C 1 <br /> Q GAS n ROOFING n SPECIALTY r-7 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES (V(40 <br /> NO <br /> BUILDER <br /> GNATU RE a COMPANY I NIFE�F RE T it YiN <br /> SIGNATURE 7, ii - 1 'i <br /> Address No ■ r. "u 1 1 l `. ' 3Z0S3 License# 11 <br /> C fl V C � I <br /> ELECTRICIAN <br /> IG N T URE f ' COMPANY l ,i ueC <br /> SIGNATURE REGISTERED / N FEE CURRENT i . /rl� I N <br /> Address gill b Pe. k :..II ' it e ii 1,111- , FZ.. License O <br /> nse # ` I O % Z 9 I 0 1 <br /> C <br /> PLUMBER / COMPANY 1 . r1pp Q ,, <br /> bl 1� ViotA. Sr. I <br /> SIGNATURE ._� REGISTERED I( YJ N I FEE CURRENT �Yy N <br /> Address J , ' ' L F ( / ` 1 1 It 1 [ License # 11W ()MO I <br /> I <br /> SIGNATURE <br /> MECHANICAL ' � � , . �_ ' , p ly E EO / N I� i E SE NT �J N <br /> Address s : 1 ! . . _ -_. a 1 I License# IeS10_ -1$ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address I 1 License # I I <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bridng Pliers; (1) set of Energy Forms; R-O-W Penns for new constructien, <br /> M *ntsn ten (10) working days after submittal dale. Requited aerie, Construction Plans, Stonnwate Plans w/ Sit Fence installed, <br /> Sanitary Fealties & 1 durnpster; Site Work Pewit for subdisionsAarge projects <br /> COMMERCIAL Attach (3) complete sets of Bulci g Plans plus a Like Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten (10) working days alter submittal date. Required ensile, Construction Plans, StOnnwnater Plans w/ Sit Fence installed. <br /> Sectary Facades & 1 duanpsler. Site Work Perri for all new projects. Al commercial requirements must meet compiance <br /> SIGN PERMIT Attach (2) sets of Engineered Plana. <br /> ""PROPERTY SURVEY required for all NEW canstnrdion. <br /> Directions: <br /> Fa out appication completely_ <br /> Owner & Contactor sign back of appication, notarized <br /> I over S2500. a Notice of Commencement Is required. (NC upgrades over $5000) <br /> '" Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERirTTHNG (Fret of App1cation Only) <br /> Reroot& Sewers Service Upgrades NC Fences (Plot/Survey/Footage) <br /> Driveways -Not over Counter it on pubic roadways..needs ROW <br />