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' 813-780-0020 City of Zephyrhills Permit Application Fax-813•780-0021 <br /> Building Department <br /> .� <br /> / <br /> Date Recelved Phone ContaCt for Permittin S� 3 y/(p ._ �� �o� <br /> Owner'a Name ��NN�'7i♦ �/-/EJ Owner Phone Number `/2 / 7 "���� <br /> Owner's Address <br /> ISSSO L�6�fTwAVF A? •�2/0 CLFq�(w�� Owner Phone Number �— <br /> Fee Simple Titleholder Name � �1 Owner Phone Number �— � <br /> Fee Simple Titleholder Addreas <br /> JOB ADDRESS e� /Q� p�E/di7 yRN/L� LL �35�d (,OT tt �/ <br /> SUBDIVISION ���NG PRI�/` PARCEL ID# D3' �Z�p "Z�� Oz 3 O" U('O � O � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NSTALLSTR 8 REPAIRT � SIGN O O DEMOIISH <br /> PROPOSED USE O SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BIOCK O FRAME �� STEEL � <br /> DESCRIPTION OF WORK /VFW CONcS?'�'P(/CT/O/v "� TOl.�//V�OML�S <br /> BUIIDING SIZE �- �� S4 FOOTAGE I� / HEIGHT a�o�e y <br /> " <br /> �BUILDING $ /, �tO VALUATION OF TOTAI CONSTRUCTION <br /> ✓ <br /> OELECTRICAL $ 3 y � o AMP SERVICE � PROGRESS ENERGY O W R.E.0 <br /> �PLUMBING $ ���� <br /> OMECHANICAL $ y � y � VALUATION OF MECHANICAL INSTALLATION <br /> �GAS O ROOFING a SPECIALTY � OTHER <br /> FINISHED FLOOR EI.EVATIONS 9 ./ ,r � FLOOD ZONE AREA QYES NO <br /> �' �.J <br /> .�..�-�,..�.�.. <br /> BUILDER COMPANY �LENNyI'Z O"/�S <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/ N <br /> Address �SSSO L/(,//T1�IA �.�/0 L"�EI}�1PR/,9Tl�if� FL.,� 7�o License # CCT C�S 8�lp lp <br /> ELECTRICIAN COMPANY OMOI✓SO/�/ G 6ECT/Q/G -Z�il/G � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address /03y .�(II�I�Q ICO %�q y , f� �3G/ License # FC 000 �s' �J � � <br /> PLUr�aFR COMPANY 8M IN P�VMQ//V G� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Ad�.F�s 327 � i F �/EW -L .� License #��C � a�.50 Q� <br /> MECu�"11CAL COMPANY �AyO�tlFT P[vM�6/N� /fERT/N(r � �C.- <br /> SIGP' 1TURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Arl�iress PD.Box13o8 OIJF/ry/NT �..�y(►'J� LiCenS9# C��OSBc��p 2 <br /> �T" COMPANY C •f'�RL�N6 (�a��; iQoa�i�G ,�C. <br /> 51G" ^ T� 1PF REGISTERED Y/ N FEE CURREN Y! N <br /> �+ �ll.}'NppLl.�NfBtva cs'!�R/Nif1/GL �'C3Ni 7 �icense# CC-C�S''799� <br /> 11111111111111111111111111111111111111 <br /> �E¢inr.ir�n� Attach (2) Plot Pians; (2) sets of Building Pians, (.1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Pians w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large proJects <br /> :On"�"Fp�inL �ttach (3) complete sets of Building Plans plus a Life Safety Page, (1) set of Energy Forms R-O-W Permit for new construction. <br /> Minimum ten (10) working days aker submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitar� Facilitles & 1 dumpster, Slte WOrk Permit for all new projects. Ail commercial requirements must meet compliance <br /> �i�"' "�^"^iT Attach (2) sets of Engineered Plans. <br /> '""PROPERTY SURVEY required for all NEW construction. <br /> b..i..� !.,.I,.,,t�.. <br /> Iirer. , n� <br /> F ��� �ppiication completely. <br /> ����� � Coniractor sign back of applfcation, notarized <br /> i' •^ �? 2500, a Notice of Commencement fa required. (A/C upgrades over 37500) <br /> ' /�•�•' '�r the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authonzing same <br /> �VE!' T' �r �oUNTER PERMITTING (Front of Application Only) <br /> ero� ��r sn;�,r�i�5 Sewers Service Upgrades A/C Fences (PIoUSurveyiFootage) <br /> "�� ���2ys-Not over Counter if on public roadways..needs ROW <br />