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s�s-�so-oo2o City of Zephyrhills Permit Application Faz-813-780-0021 <br /> Building Department <br /> Date Recelved r✓�( Phone Contact for Permiltin S� 3 y 7�-- o 3 6 3 <br /> Owner's Name ��NN�'♦ ��ES Owner Pho�e Number `7� / 7 "� / �� <br /> J77�a+ <br /> Owner's Address �S5S L/6MTwA✓F lY1 •�2�� ��flQr(NN!! k. Owner Phone Number <br /> Fee Simple Tftleholder Name � Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3?�D? A�. N c; �EpyyRN��1S L�� 335�lU LOT # 8 D <br /> SUBDIVISION ����� PR�/�- PARCEL ID# �3'"��0 ^2� a 2 3 0 � UQO � O � <br /> (OBTfUNED FROM PROPERT'� TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN � � DEP,AOLISH <br /> � INSTALL 8 REPAIR <br /> PROPOSED USE O SFR Q COMM O OTHER <br /> TYPE OFCONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK /Y�w CONcS?��P�/GT/O� '— TOl.�/�✓/yOML <br /> BUILDING SIZE �� 34 FOOTAGE [�� HEIGHT o� `S�TG�Q � <br /> �T'T�1"rrTT <br /> OBU�LDING $/, G50 VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ 3 y � o AMP SERVICE � PROGRESS ENERGY � W R.E.0 <br /> �PLUMBING $ �.l3� C' <br /> 7 J <br /> �MECHANICAL $ y � ys .. VALUATION OF MECHANICAL INSTALLATION <br /> �GAS O ROOFING O SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS Q ��^ FLOOD ZONE AREA QYES NO <br /> 7 • ,J <br /> .i-F-�"�'E-+-- <br /> BUILDER COMPANY �EN/VH� � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address SSS� LI�rN�A ��.�/4 CLEIDYPNRT�/t�FC,,? 7�0 License#� C�' C�S! 8�� � <br /> ELECTRICIAN COMPANY OMoN.SOn/ �GE�T/4/Ci -��VG' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y 1 N <br /> Address �03�/ .�Cl/19f�lQ • %�A A. f� 33G1 License # FC 400 �S�I � <br /> pLUh^RFR COMPANY 8M IN P�.VNJ�/N �' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y! N <br /> Adctre�s 63� � �� 1 S �/EW -L 3 License # C FC 0 °� �J�� � <br /> MEC!'^"IICAL COMPANY �pYO P[vM�6/N� /7EHT/NCr � �'7C <br /> SIGN �TURE REGISTERED Y( N FEE CURREN Y/ N <br /> Ac!�ress /"•�•� 1.30$ D�fFTR1iNT L 3�`77 License# C�7'COsc7 (/�O� <br /> OTHF2 COMPANY C� .f'�R,��N6 G�L�a�� � ROA�/�G �C• <br /> SIG' "T�1PF REGISTERED Y/ N FEECURREN Y!N <br /> �+•�.�r�5s yzr�.SNopI�.,NFBc.vv SP,��ro�flic� G2,�y� '1 �icense# �C <br /> iii�ii�ii��ii��t�ii�����i�iiiiii�i�i�i���ii�iii�iiiiiiiiiii�ii���i� <br /> RES�^r"!r� �L Attach (2) Plot Plans; (2) sets of Building Pians, (1) set of Energy Forms; R•O-W Permit for new construction, <br /> Minimum ten (10) working days afiter submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence instailed, <br /> Sanitary Facilities & 1 dumpster; Site Work Pertnit for subdivisions/iarge projects <br /> COn�"�Fp�inL Attach (3) complete sets of Building Plans plus a Life Safety 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 Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitles & 1 dumpster. Site Work Permit for all new projects, All commercial requirements must meet compliance <br /> Si�"' ^�^^^�T A.ttach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY requfred for all NEW construction. <br /> .�„4.� !...I...,I�.L� � ■ ■ ■ ■ ■ .■ _i_ � ■ <br /> Dlrec ^n5 <br /> F � n��i applic�tion completely. � <br /> C� -�,�r ,e Con�raetor sign back of application, notarized <br /> r-� �� � R zsoo, a Notice oi Commencement fs requlred. (A/C upgrades over 57500) <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" rOUNTER PERMITTING (Front of Application Only) <br /> Rem� s �r sn��,�ies Sewers Service Upgrades A/C Fenees (PbUSurvey/Footage) <br /> ^ -���ays-Not over Counter if on public roadways..needs ROW <br />