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813-780-0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 � [� I Staking Department 7 �CJ� a Date , r l Received I , —r N - Phone e for P.rn►ttNrg l - I \ 7lJUJ I J obi-. Owner's Names � 4 - r F ( . 1 \5 L LC— 1 Owner Phone Nu mer 181,3 ' . q 7-' f 1 owTrer' A ddress ��r TEci. -4, • - : • Owner Phone Number IS t3' 5' - 151S i �``+ Fee Simple Titleholder Hamel ^" I Owner Phone Number Fee Skeple Titleholder Adds I r 1, y I JOB ADDRESS I ✓S0a2) t j�� ^ ,,(N 't , - � L) LOT # ( 1` �O SUBDIVISION I Mme, C ILLS PARCEL KIM ([�� at c, . 31. ��.J • cbCc ` \ a 1 c I J IOSTIINED FROM PROPERTY TAX NOTICE WORK PROPOSED n I NEW CONSTR I I ADD /ALT Q SIGN Q MOVE Q DEMOLISH INSTALL REPAIR PROPOSED USE r -- - -- SFR I I COMM Q OTHER I I TYPE OF coNSTRUC ION i l BLOCK FRAME n sTEEL j - OTHER [4 • DESCRIPTION OF WORK 1 `t' k N1 od e...1 +t ed cu) i'1 cp � ex'rw 1� , BUILDMIG S12E I I `I � x 51 t SQ FOOTAGE I L/ c 9 HEIGHT 1 ( ✓r BUILDING I pC` F LJI r�) )11/) ) , 0t ? I VALUATION OF TOTAL CONSTRUCTION 1 t4 60 .et) L ]G " ELECTRICAL $ I AMP SERVICE n PROGRESS ENERGY = W.R.E.C. r r PLUMBING IS I r�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Q GAS r1 ROOFING r l SPECIALTY n OTHER FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA r 1[211:10 YES 1[211:10 P , .. BUILDER .4 -. A L-_ _ REGISTERED I eLt51er Mabl IC_ Hot - � Jam $$GNATURE s....-.... Address 1(1'y N FEE CURRENT I N 1 , , t • 1LV ; .► .1' Ili\ License # I 114 150 02.1 to ELECTRICIAN f / E.t I coMPANY 1 I ect ic_ SGNATURE ♦ ! J it RECal3'rERC-0 FEE CURRENT Q N Address 1-135 Cr Fitter, (Zd Z'h� r hi /IS I G CiS License # 1E-R cx)l Z9 t o SIGNATURE i ", CaI I G � ( 1 FEE C c um REN R� N S� �y7 N / p, ,� �� Q N FEE URT MECHANICAL Address �� tgo' �// 4.i 030 &r t. Je./ 1 � i.i ti4 1 1 - 1 License # ri 4.00 oZ4 49 1 SIGNATURE / /' L� 1 fiu� l REGISTERED I � � N F CURRENT N I Address 1 /q/ E d Z I - h h I/ 1 , F, 1 License ICRc 4R OTHER I COMPANY I SIGNATURE REGISTERED I Y! N 1 FEE CURRENT ( Y/ N 1 1 i Address I I License # I 1 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Boding Plans (1) sat of Energy Forms; R-O-W Perri for new Minimum ten (10) working days after submittal date. Required orelte, Construction pas, Sldrmwatar Platy w/ Sri Fence installed, Sanitary Facilities & 1 dumpsite; Sale Work Permit for subdivnionsllarge projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days alter submittal date. Required onsite, Conseudion Plans, Ala Plans w/ Silt Fence installed, SIGN PERMIT Attach (2) sate of Engine P Work Perm rnarn for all new projects. AN coerciaa regrirerrnerns mast meet compliance ""PROPERTY SURVEY mgteed for all NEW construction. Directions: Fir out application completely. Owner & Contractor sign back Of application, notarized If over $ 2500, a Nods of Commencement is required. (NC upgrades over $5000) Agent ( for the contractor) or Per of Attorney (tor the owner) would be someone with notarized Meter from owner authorizing same OVER THE COUNTER PERMITTING, (Fran of Application Only) ........ Retools Sewers Service Upgrades NC Fences (Plot/Survey/Footage) Driveways -Not over Counter if on pubic roadways..needs ROW