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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department � <br /> Date Received Pho�e Contact for Permittin S� 3 7/(O -• ���� <br /> Owner's Name ��N��" ��/E� Owner Phone Number 1/ 2/ 7 ��/ 0� <br /> Owner's Address <br /> ISS50 G`HTwAVF A? •��1� CLEA�CN���k Owner Phone Number � <br /> Fee Simple Tftleholder Name � Owner Phone Number � <br /> Fee Simple Titlehoider Address <br /> JOB ADDRESS � 7 f� L- N D:'� �p �Ry/L� rL' `33 57 d LOT # /(p <br /> SUBDIVISION ���p�0 /��/�' PARCEL ID�i Q3 "' �� ��l � Q� 3 0 � UQ� � Q I � <br /> (OBTAINED FROM PROPERTV TAX NOTiCE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN Q O DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK a FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK /V�W CONST'�'P(/GT/O/V "' TOGC//✓IyOML�S <br /> BUILDING SIZE � � S4 FOOTAGE /�� HEIGHT o� `sTO� � <br /> ��� <br /> �BUILDING $/, G50 VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ � U�O� AMP SERVICE � PROGRESS ENERGY Q W R.E C <br /> 7 <br /> �PLUMBING $ /1��r d' <br /> 7 J <br /> �MECHANICAL $ y � ys VALUATION OF MECHANICAL INSTALLATION <br /> �GAS � ROOFING Q SPECIALTY O OTHER <br /> FINISHED FLOOR ELEVATIONS � ��` FLOOD ZONE AREA QYES NO <br /> r <br /> -�-- <br /> BUILDER COMPANY �EN/V9/� O <br /> SIGNATURE �7 REGISTERED Y/ N PEE CURREN Y/ N <br /> Address SSD L/GN:I✓A✓1'� �R �.?/0 C�E�NA7�/(� I�L,� 7�0 License # t— G C�� p�l0 � <br /> ELECTRICIAN COMPANY OMO/t/�j0/�/ �LECT/4/C� -��VG' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address � y.�l/l� �e %�q y, fL 33(il License # F� 000 �s'7 9 � <br /> PLUr�RFR COMPANY BMIN PiCVMQ/N�l' <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y! N <br /> qd�rP�s 63�7 N �S F 1/lEW — L •� License # C�C �"� �J �� <br /> MECu^�11CAL COMPANY �AYONFT P�vM�B/N� /'fF9T/N(r � �7C <br /> SIGP' �TUR6 REGISTERED Y/ N FEE CURREN Y/ N <br /> Acldress /�• D .,Bar�.s3o S q ONFl ZlNT �. .��`77 LlCense # t,. /7' � 0�� (� (p � <br /> OTHF4 COMPANY C `��le��N6 �it/�4L/i /QOA'�/�Xr TNC• <br /> SIG" "'� 1PF REGISTERED Y/ N FEE CURREN Y/ N <br /> �+-��+ress y�► .sNop� �,�Nf B�vo �S"P�C�a�l,l/e.� Gt 3yi 7 �icense # CC� C �S 99� <br /> IIIIIiIt111111111111111111111111111111111111111111111f111111111111t <br /> RES�^r�!Tln�, Attach (2) Plot Plens; (2) sets of Building Plans, (1) set oi 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 Facilities & 1 dumpster; Site Work Pertnit for subdivisions/large projects <br /> COn^r��arinL Attach (3) complete sets of Buliding Plans plus a Life Safety Page; (1) set of Energy Forms R-O-W Permit for new construction <br /> n�inimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary FaCilitlea & 1 dumpster, Site Work Permit for all new projects All commercial requirements must meet compliance <br /> Si�"' �`"^"'iT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> +i„L�� G.vb..,a,y. . <br /> Direr. ^na <br /> F ' ���i appl�cation completely. <br /> �-n�� x Con�ractor sign back of application, notarized <br /> i' -� �^ �• z 2500, a Notica of Commencement is requlred. (A/C upgrades over 57500) <br /> "• r� '�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 PERMITTING (Front of Application Only) <br /> Rero� s�r �r��,�ies Sewers Sarvice Upgrades A/C Fences (PIoVSurvey/Footage) <br /> '' �� ^�2ys•Not over Counter if on public roadways..needs ROw <br />