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813•780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department � <br /> �: ' <br /> Date Received Phone Contact for Permittin S� 3 7/(0 •- ���✓ <br /> Owner's Name ��NN�7/� ��ES Owner Phone Number `/�/ 7 ��� <br /> Owner's Address <br /> �.SJ�J �/�r�/TWAI/F (�I[•'�2/� CLEjQi(h/�� Owner Phone Number � <br /> Fee Sfmple Titieholder Name Owner Phone Number � <br /> Fee Sfmpie Titieholder Addross <br /> JOB ADQRESS � 7� ! AL. /V �EI��7 r/Q/�/LLS �L ' 57 C� LOT # �� <br /> SUBDIVISION ���NO �IQI�/�. PARCELID� D3"• "��'� Q� 3O � UQO�O/Z � <br /> (OBTAINED FROM PROPERTV TAX NOTiCE� <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN � O DEMOLISH <br /> � INSTAIL 8 REPAIR <br /> PROPOSED USE O SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BIOCK a FRAME � STEEL Q <br /> DESCRIPTION OF WORK NFW Co�vsr�PvcTio�/ — To �.vNyOMES <br /> BUILDING SIZE � � S4 FOOTAGE �/ I HEIGHT v? �T�� 7' <br /> '7�r"�"rrT'r <br /> OBUILDING $ /, /�^O VALUATION OF TOTAL CONSTRUCTION <br /> V✓ <br /> �ELECTRICAL s 3 yyo AMP SERVICE � PROGRESS ENERGY O W.R.E.0 <br /> OPLUMBING $ u ` <br /> 7 J <br /> OMECNANICAL $ �J ��` VALUATION OF MECHANICAL INSTALLATION <br /> 7 J <br /> OGAS O ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS Q ./` F1.00D ZONE AREA OYES NO <br /> 7 .J <br /> �i--1--L <br /> BUIIDER COMPANY .LENNfi'� O"/FS <br /> SIGNATURE REGISTERED Y/ N FEE GURREh Y/ N <br /> Address /SSSo 46Nrw�✓� 1�R'�.?io �',cE,q�PNqrFit, F�,� ylo uce�se # � CG C/s/8 � lo (o <br /> ELECTRICIAN COMPANY OMon/SoN �LECT/4/C� -��IIG � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y! N <br /> Address /03y .fIZC!/ e �A A, f� ��G� License # FC 000 ��J 7� � <br /> PLUrnRFR COMPANY BM{N P�V�IN� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> A��,�as 632�,�/ I � F v�Ew -c_ 3 License # � F� 0 a/50 � <br /> MEC!'�^�ICAL COMPANY �AydNFT P[vM�B/N� /'fE�9T/N�r � �7 � <br /> SIG�' �TURE REGISTERED Y/ N FEE CURREN Y( N <br /> Ac'�ress • D•�pX.�.3� q ONFT ZqvT L 3y�►7� license # C/9C�J�p �p � <br /> OTHF? COMPANY �' S�`R��Nb CL�a��T ROA'��tiXr TNC. <br /> SIG' ' T� 1PF REGISTERED Y! N FEE CURREN Y/ N <br /> �,�,i,�S y�l� J►/o�vL �,iNE B�vc SP��N� flicc LZ �yi 'I �icense tt CC- C' D.$'z 99� <br /> ii���iiii�i��i���������ii���ii��iii�ii�iiiiii�ii��ii�ii��i�iiii�tii <br /> RESin�'!'inL AttaCh (2) Plot Plans; (2) sets of Building Plans, (.1) set oT Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) working days aher submittal date Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitiea & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COM1^^�FRrin� Attach (3) complete sets of Building Plans plus a �ife Safety Page, (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 Plans w/ Silt Fence installed, <br /> Sanitary Facflities & 1 dumpster. Sfte Work Permit for all new projects. All commercial requirements must meet compliance <br /> Si�r� ^�^^°iT Attach {2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> �.b�{ [,,..6.„/,�,�.,u ■ �_.■.■.i.■__�_■.■.■ ■ ■ ■ ■ ■ ■ ■ ■ ■ <br /> Direc �nc <br /> F n��� applicati0n completely, <br /> c' �nc� x Coniractor sign back of applicadon, notarized - " <br /> r-�-^ � 22500, a Notica of Commencement fs raqulred. (A!C upgrades over S7S00) <br /> " ����,� '�r the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVE� T''� �OUNTER PERMITTING (FrontofApplication Only) <br /> Rero�• � �r sn��,�i�s Sewers Service Upgrades A/C Fences (PIoVSurvey/Footage) <br /> ^ �����ys-Not over Counter if on public roadways..needs ROW <br />