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813- 780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Bulling Department /� Q� ^ .ter/ _ // / y Received 2. <br /> Dale Received - s r — � ry � <br /> 1 Phone Contact for Parmtlnq 1 �1 - 15! l.i ' VJ 1 � i-" <br /> wner's N a m e ' (� ► 7 Ll�f�� f Owner Ph Number 1 t <br /> O T <br /> Owner's Address / • . `iari.rilliF1 r " . � ' Owner Phone Number 1 <br /> ""' Fee Simple Titleholder Name LA Owner Phone Number <br /> Fes Simple Titleholder Address <br /> JOB ADDRESS MS 1.■111U.J1 1ll L . � \ tb LOT* �(�� ^9, 1 <br /> SUBDMSION I Mn U( 00,-VS n PARCEL ID* I L � - as ' 2.-k I�( <br /> I • LJl�! �C > • W ' \ ' L�Jl�7U <br /> (O.TAIIIED FRON PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR H ADD/ALT = SIGN n MOVE = DEMOLISH <br /> n INSTALL REPAIR <br /> PROPOSED USE r SFR n COMM n OTHER ( I <br /> TYPE OF CONSTRUCTION fl / BBLOCK FRAME Q STEEL OTHER uw&r`NIMI j u <br /> IO <br /> DESCRIPTN OFWO �/ r`-f9 I�e-e-m s- ` • p r «V <br /> BUILDING SEE 1 1 Ll i ) . i SQ F O O T A G E 1 l 2 HST 1 I <br /> BUILDING I$ '4 NJ ■ co I VALUATION OF TOTAL CONSTRUCTION 24� <br /> ELECTRICAL S ` J AMP SERVICE ( \---1 PROGRESS ENERGY n W.R.E.C. <br /> l-� PLUMBING IS I l,yi" <br /> 1 .- " ..- MECHANICAL S VALUATION OF MECHANICAL INSTALLATION \-9 440' i �$. �� "` rti C <br /> = GAS n ROOFING F SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES [10 <br /> BUILDER � �,' / ( COMPANY 1 C'� �Vh I ke 1 40 -P IP <br /> SIGNATURE , " REGISTERED 10/ N ' FEE CURRENT <br /> Address till VJ r_ u' 1 &SP 3ZL5 License * I1 N 167 SD 1 c I d 1 <br /> SIGNATURE 1� <br /> N � 9 REG TERED ( N FEE CURRENT y N <br /> Address Graf 1 0i A l.I L. Z N License * If_Zf. OI Zi I o I <br /> PLUMBER /� j� C COMPANY [ (,�1e_1( EC NAQ <br /> SIGNATURE `�'� !ice' — / REGISTERED e lj / N I FEE CU RRENT / N I _ <br /> Address / As N A ( 0 11 � L A Licens * A-1 I �.Y f -1 h 1 <br /> M 4 <br /> NATURE / ` ,�f jl NICAL ,f i / t ( (�� C �' [ Z / /.Y" /L ECIS ( l J , <br /> SIG � <br /> N I ,) N <br /> y � v � <br /> Address License * (C?AC 0 -(�/``1 1 <br /> OTHER COMPANY <br /> SIGNATURE l Y / N <br /> REGISTERED I FEE CURRENT 1 Y/ N i <br /> Address 1 1 License * I 1 <br /> e <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Farms; R-O-W Permit for new conttr� <br /> uon, <br /> Minimum ten (10) world g days alter submittal date. Required crane, Construction Plans, Staormwater Plans w/ Sit Fence Instated, <br /> Sanitary Facilities S 1 dumpster; Site Work Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach (3) compete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-0-W Permit for new construction. <br /> Minimum ten (10) woddng days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Sit Fence installed. <br /> Battery) sets es & 1 n Site Work Permit for at new projects. Ai commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for ail NEW construction. <br /> Directions: <br /> FBI out application completely. <br /> Owner & Contractor sign beck of application, notarized <br /> If over $2500, a Notice of Commencement Is required. (A/C 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 PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades NC Fences fVey /Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />