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813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780•0021 <br /> Building Department . � <br /> Date Recelved Phone Contact tor Permittin 8� 3 7/(O -- ���� <br /> Owner's Name �.�NNA�` ��/ES Owner Phone Number 1/2 / 7� '��/ �� <br /> Owner's Address <br /> �•SJ' L/6NTWA✓E A?•�2/� C�ER�(N���k Owner Pho�e Number � � <br /> Fee Sfmple Titleholder Name Owner Phone Number � <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS 3 7 ��. c?Ei�yYRN/[GS �L' 'j3.5T � LOT # /� <br /> SUBDIVISION ����Q �R�� PARCELIO# ��"��0�'2�'���J�'" UQ� � <br /> (OBTAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE O SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK a FRAME �J STEEL � <br /> DESCRIPTION OF WORK NFw Co�vsr�vcTioit/ -- To w.✓Hon�l�5 <br /> BUILDING SIZE SQ FOOTAGE /� HEIGHT a���e y <br /> � <br /> OBUI�DING $/, G50 VALUATION OF TOTAL CONSTRUCTION <br /> OELECTRICAL $ 3 y � o AMP SERVICE � PROGRESS ENERGY Q W R.E.0 <br /> �PLUMBING �� <br /> OMECNANICAL $ ���� VALUATION OF MECHANICAI INSTALLATION <br /> �GAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR EIEVATIONS Q ��S FLOOD ZONE AREA QYES NO <br /> 7 <br /> -i�-F-�--F-�--+-� <br /> BUILDER COMPANY �EN/V9/� O"/�S <br /> SIGNATURE REGISTERED Y/ N FEE CURREN V/ N <br /> Address 46H OR �•T/4 CLEIy�PN/tli�/(� FL,? 7�0 License # CG C�s18 ���� <br /> ELEC7RICIAN COMPANY dMon/.SOn/ �LE�T/Q/� -��G � <br /> SIGNATURE REGIS7ERED Y/ N FEE CURREN Y/ N <br /> Address /03�{ .�Cl� : e �A l7 . F� �3G1 �icense # FC DOO �s7 � � <br /> pLUrnRER COMPANY BM {N P�VI��N�7' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Ad�rP�s 6327 � � 1 F VJ W-L � License # C�C p a�J � <br /> MECu^^�ICAL COMPANY ��yOA/FT PCVM�/N� lfF�9'T/�1G^ � �'7C- <br /> SIG�"'TURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Ac+dress /"• • p7��.3 c7q ONFI' ZiNt L 3 y`77 �icense # C� �l � 0 s8 ��P � <br /> OTN�� COMPANY (. C.S�'7�/P,(�N(T �/i4L i i ROA'�/�Xi' .�V C• <br /> SIG' '?I)nF REGISTERED YI N FEECURREh Y/N <br /> �+���i�ess y�►�.SNoAL�.�Nf B�vo �S'P�t�w�/�iee G23y� '� License# CC �.s 99� <br /> IIIIIIIIIIIIII11111111111111111111111111111111111111111111111111111 <br /> RESir��!Ti nL Attach (2) Piot Plans; (2) eets of Building Plans; (1) set of Energy Forms; R•O-W Permft for new Construction, <br /> Minimum ten (10) working days a�ter submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Fecilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COnnr�Fpri n� attach (3) complete 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) working days after submittai dats. Required onsite, Constructlen Plans, Stormwater Plans w/ Silt Fence instaued, <br /> Sanitary Facfiftles & 1 dumpsier Site Work Rermit for al1 new projects All commercial requirements must meet compliance <br /> SI�^� ^�'^^^iT Attach (2) sets of Lngineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> �,.6_! !.�.t...t..i_. . . . . . . . . . <br /> Direc , n= <br /> F ���� apqlic�tioncompletely. <br /> c' n�� e Con��actor sign back of application, notarized <br /> r•�� � t 2500, a Notice of Commencement Is required. (AlC upgrades over 57500) <br /> •' ��•�-� '�r the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authonzing same <br /> OvE� T''r �oUNTER PERMITT7Nf3 (Front of Application Onry) <br /> Rero�� ��r sr��,�ies Sewers Service Upgrades A/C Fences (PIoVSurveylFootage) <br /> !' '�����ys-NOt over Counter if on public roadways..needs ROW <br />