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813-780-0020 . , City of Zephyrhills Permit Application Fax-813-780•0021 <br /> Building Department <br /> Date Recelved Phone Contact for Permittin v� 3 y 7G .. 0 3 63 <br /> Owner's Name � F N u A/'� � O M EJ Owner Phone Number �� 7J 7�/�' �/ �� <br /> /.SS"S'O � � <br /> Owner's Address �,/ 6�/TWI� (�E �#2 G� ERRHF4 ��� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �— � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS /'M�3�RL LN Z Ei"S� �t�li�L�S � FL 335�0 LOT # � 3 G <br /> SUBDIVISION G �� /fjlQlC.' �l4'/"J PARCEL ID# �� � � �P — ° 2 / � <br /> (OBT/UNEO FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSEO � NEW CONS7R 8 ADDlALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK NFw �O/VST/Q T/D^/ '� V/LLI�IS <br /> BUILDING SIZE Sf� FOOTAGE D� HEIGHT SbL S�� <br /> �BUILDING $� n� oo VALUATION OF TOTAL CONSTRUCTION <br /> / <br /> QEIECTRICAL �C�2O � b� AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING $ n �� ' oO <br /> r., <br /> �MECHANICAL $ 2.� � VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS ry � O O FLOOD ZONE AREA QYES NO <br /> '7 <br /> BUILDER COMPANY LENNA� J�j� OMES <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address � SSSD L/i Q✓E �. �?/0 Gl.FijiQN FL fJ License # CGG /S/ 8/ G� <br /> EIECTRICIAN COMPANY G��"1oNSoN ELE���C SNC • <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y! N <br /> Address /o3s/ SKi/PE Q, �19M A FL�3L/ License# EC000,�s79 <br /> PLUMBER COMPANY � M W PL �/�/J ��G <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address �0327 I� y E L 33578 �icense # C`C O,Z / SO O <br /> MECHANICAL COMPANY BA�/D/yET �✓Mb�N� � �FAn'N� � � � � <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N <br /> Address � �• gOX '.530 ONF� Ro/Nf FL 3�'6 License # C�C �.S 8 0 �o L- <br /> OTHER COMPANY C STfRL�N� (/IOe,/ �OQF/AJL� ,ZNC� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Sl�.// .S�J0�4 UNE QLVD �'P/t/N` y/Cl F (�� � License # � t„ — C D J� 7 9 9' I <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL 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 after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitfes & 1 dumpster; S�t� Work Permit for subdivisions/large projects <br /> COMMERCIAL 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 aftar submittal date. Reguired onsite, Construction Plans, Siormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster Site Work Permit for all new projects. All comm�rcial requirements must meet �ompliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: • <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over 52500, a Notfce of Commencement is required. (A/C upgrades over 37500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />