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,r' <br /> s�s-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receivsd Phone Contact for Permittin 8� 3 y 7�-- � 3�3 <br /> Owner'a Name ��NN�7'♦ ��E�] Owner Phone Number `/ 2/ 7 '� �/ �� <br /> Owner's Address <br /> �SJ L/6MTWA✓g A2•�•2/� CLEArCN�� Owner Phone Number <br /> Fee Simple T{tleholder Name � Owner Phone Number � <br /> Fee Simple Titleholder Addrass <br /> JOB ADDRESS �7�DS A� N c?E�`''y1�RN/[LS �� 335�U LOT # /�g� <br /> SUBDIVI310N ���NO P��/�- ► PARCEL IDiI D3 "' ��o '� Z �w' D z 3 O� UOO � O � <br /> (OBTAINED FROM GROPERTV TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> � INSTALL 8 REPAIR <br /> PROPOSED USE O SFR Q COMM O OTHER <br /> TYPE OF CONSTRUCTION � BLOCK O FRAME O STEEL Q <br /> DESCRIPTION OF WORK N�W CON�St�P(JCT/O/l/ �' TO G�J/✓�OM�S <br /> BUILDING SIZE �_ S� FOOTAGH � HEIGHT o� `STO/Q y <br /> �BUILDING $ /� ��O VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICA� $ 3 y � o AMP SERVICE � PROGRESS ENERGY � W R.E,C <br /> �PLUMBING $ ���� <br /> �MECHANICAL $ u��� VALUATION OF MECHANICAL INSTALlAT10N <br /> 7 <br /> �GAS � ROOFING O SPECIALTY � OTHER <br /> FINISHED FLOOR EIEVATIONS �n �/� FlOOD ZONE AREA OYES NO <br /> � � <br /> - i--F - F - i - F - ��i - <br /> BUILDER COMPANY IG.EN�V�!/� O� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> aadress �SSSo L/6NT1✓A✓!� �.T/0 CtEN/P�/RrFit� FL,? �lo �icense � CG C IS B�� lo <br /> ELECTRICIAN COMPANY OMoNSon/ �LEL�T/4/C� -�/VG • <br /> SIGNATUR� REGISTEREO Y/ N FEE CURREN Y/ N <br /> Address /03y .SiC1/I� 0 �q A, f'[ 33G1 �icense �t FC DOO �S �f 9 � <br /> PW�^RFR COMPANY p M w P� � <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/ N <br /> Ad�rPCS 6327 N F VIEW -Gr .� LiCense # �C FC � a�J' 0� <br /> MECN�^lICAL COMPANY �AYotilET Pcvn��6iN� /7EFIT/N� � �7C- <br /> SIG�"1TURE REGISTERED Y/ N FEE CURREN Y/ N <br /> add�e5g l`�D.,B X.�3o8 ,,�q KErPu,n,r L.3h�!►7h� u�e�se# CACOSB !02 <br /> OTHFR COMPANY C.S �/�a� � i /QOQ�/� ,T./�/C. <br /> SIG" "T� 1PE REGISTERED Y/ N FEE CURRHN Y/ N <br /> ����iress yzj� .SNo�O� �,��vF B�vo SPR��v� flicc. Gt �yi 7 License # CC C D,S� 99� <br /> IIIIIIIIIIIIIt111111111111111111111111111111111111111111111t111111i <br /> RES�^r�!Tinl, Attach (2) P�ot 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 8 1 dumpster; Site Work Permit for Subdivisionsilarge projects <br /> CO�^^�Fprin� Attach (3) complete sets of Building Plans plus a Life Satety Page, (1) set of Energy Forms R-O-W Permit for new construction <br /> Minimum ten (10) working days after submittai date, Required onsite, Construction ?lans, Stormwater f'lans w% Silt Ferce installed, <br /> Sanitary Facflitles & 1 dumpster. Site Work Permit for all new projects All commercial requirements must meet compliance <br /> Slcr� rr^^^iT Attach (2) sets of Engineered Plans, <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> �,L,d�,r l...6..•1� . . <br /> Direc �ns ' <br /> F " ����i ap�uc�tion completely <br /> ���,�r ,e Con�raCtor sign back of applicatfon, notarized <br /> r•-� �? 2500, a Notice of Commencemant fs requlred. (A/C upgrades over 37500) ' <br /> •• ����,� '^r the contractor) or Power of Attomey (for the owner) wouid be someone with notarized letter from owner authonzing same <br /> OVE� T' �r �oUNTER PERMITTING (Front of Application Only) <br /> Rem� r�r �r��,�i�s Sewers Service Upgrades A/C Fences (PIoVSurveyJFOOtage) <br /> '' - �^��ys-Not over Counter ff on public roadways. needs ROW <br />