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.,r' <br /> r'' � <br /> 813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permlttin $� 3 y 7�-� O` �� _ <br /> Owner's Name ��NNA� �A"/EJ Owner Phone Number `/�/ 7 ��/ �0 <br /> 7���m <br /> Owner'sAddress �SSSO L/6MrwA✓BlYl •�?��CLEIQr(IVi9!!�/11�L- OwnerPhoneNumber <br /> Fee Simple Titleholder Name � Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � D FI L. N c; ���'y�R�/« �� 33 5 LOT # / B <br /> SUBDIVISION ���� ���� PARCEL ID# �� �' ��o ^ 2 �� Q� 3 �' UQ� � � � <br /> (OBTAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED � NSTALLSTR 8 REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIONOFWORK N�w Co�vsr�vcrro�/ — To�.v�✓�/o�lES <br /> BUILDING SIZE ��^�„ S4 FOOTA(3E � HEIGHT a`sT��� <br /> -rt-r'r"rrr <br /> OBUILDING $�� G50 VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICA� $ y u�O AMP SERVICE � PROGRESS ENERGY � W R.E.0 <br /> a/ 7 <br /> OPIUMBING $ ���� <br /> �MECHANICAL $ y � ys . VALUATION OF MECHANICAL INSTALLATION <br /> OGAS a ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR EIEVAT10NS � /` FLOOD ZONE AREA �YES NO <br /> . .! <br /> - i--1� - ►.-1 — F - �--1 — <br /> BUILOER COMPANY �G.EN�VfI� O'•/�S <br /> SIGNATURE REGISTEREO Y/ N FEE CURRffN Y/ N <br /> aadress /SSSo 46Nr1✓�✓!�' �.?/o �'tEAR�v�i�, Ft,,? 7lo License #t CG C/,s�� /�a �o <br /> ELECTRICIAN COMPANY OMO/�/SO/�/ �L�CT�I� 'xNG' <br /> SIGNATURE '�7 REGIS7ERED Y! N FEE CURREN Y/ N <br /> Address �O�y .�Cl/I� oAp %�q h+, f� �3G1 License # FC 4O0 �s'7 9� <br /> P�UrnqFR COMPANY BM{N P�C��'a�NG"' <br /> SIGNA7URE REGISTERED Y/ N FEE CURREN Y/ N <br /> AdclrPas 63,?'� y f S' 1 F dl r,�/ -Cr ,� �icense # C FC 0 a/50 0� <br /> MECu^�IICAL COMPANY �AyO�c/FT PGVM�6/N� /7Eh7/NCr � �7C <br /> SIGP 1TURE REGISTERED Y! N FEE CURREN Y/ N <br /> Aci�ress /� ONFlRJiNT L�y�'77 License# C./'/C�sB(��O �� <br /> OTHF� COMPANY C.S��ie��Nb (�/��.�i �OA�/�Xr ,�NC. <br /> SIG' '?� IF�E REGISTERED Y/ N FEE CURREN Y! N <br /> �-�����SS `1z►�.SNo�oL 1.iNE Btvo SpR�n/if/JU Ll. �yi 7 License # CC- �' OS'J 99/ <br /> �������i�iiiii�ii��iii�i�iiiiiii�iiiiiiiiittiiiii�iii�ii�i�t��iii�� <br /> RES�^r�!TinL Attach (2) Plot Plans; (2) sets of Building Plans, (1) set of Energy Forms, R-O-W Permit 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 Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COn^r�Farin� t+ttach (3) complete sets of Building Plans plus a Ufe Safery Paga; (1) set of Energy Forms. R-O-W Permit for new construction <br /> r�inimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w! Silt Fence installed, <br /> Sanitary Facilitfes & 1 dumpster. Site Work Permit for ail new projects. AI; commercial requirements must meet compliance <br /> Sic:r� rr^^^iT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> .�1-� !„-L-•b-i-' <br /> .. <br /> Direc , n� <br /> f ���i �p�l�cationcompletely. <br /> �-�,�� R Con�ractor sign back of application, notarized <br /> i' ���� ?2500, a Notice ofCommencemant is required. (AIC upgrades overS7500) <br /> �• � ����� '�r the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVE� '"'� �OUN'rER PERMITTING (Front of Application Only) <br /> Rem� �� �r sr��,�i�s Sewers Service Upgrades A/C Fences (PioVSurveyiFootage) <br /> � -�•�ays•Not over Counter if on public roadways..needs ROw <br />