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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 Permittln i� � 3 y �G __ 0 3 63 <br /> Owner's Name �� N N/q/'Q M D NJ E� Owner Phone Number �il 7� 7 '9" �/ 0 � <br /> Owner's Address �SS"So L,� 6yT�,vy vE #Z C �ARpA4 (6 er Phone Number �— <br /> Fee Simple Titleholder Name � Owner Phone Number —� <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS �niBER� �v Z Ei°H �Cf,litC.�S , FL 335�p LOT # �3 � <br /> SUBDIVISION E� � pN� �,Q�(C, !yi[f�¢ PARCEL ID# O� —� �p '02 I� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR O COMM � OTHER <br /> TYPE OF CONSTRUCTION � BIOCK Q FRAME � STEEL Q <br /> DESCRIPTIONOFWORK /VFhI �O/VS'TR T/OrV " V/LL/�JS <br /> BUILDING SIZE � SQ FOOTAGE I � 0 HEIGHT sC�L �S�4�C <br /> OBUILDING $ a n� OD VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> �ELECTRICAL $ 2C�2O � OO AMP SERVICE � PROGRESS ENERGY � W R.E.0 <br /> �PLUMBING $ � �� ' Q � <br /> QMECHANICAL $ 2 � VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � O � O � FLO00 ZONE AREA �YES NO <br /> BUILDER COMPANY LENNAR- J�jIONfEs <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address � SSSD LI i �!✓E A/. �?/0 GLFy4N L�L 3J7�0 License # C6G /S/ 8/G 6 <br /> EIECTRICIAN COMPANY ���"1oNSoN ELECT7e/G SNC • <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address /o3b/ SK�/PE O. �/�M A jL ,33L/ �icense # ECoo a�579 <br /> PLUMBER COMPANY �� V�I PL vN!/.�i/d4 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address 327 N y E �. 335�8 License # CFC D,Z / S� � <br /> MECHANICAL COMPANY BAyoniET Jc vM�61N 6 � /�FAfJ'A/L �� I¢C <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address • �• 80X .'j30 s ONFrRD/Nf LL �A'6 �icense # C9COS S � 6 2 <br /> OTHER COMPANY C STfiQL/�/L v�f�� /�pac'/�/�� IN�, <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address NZ// .?�,lpA UNE BLVD S R�Nf y/Cl G �io �icense # �� - C o 5 � 9 9/� <br /> IIIIIIIIIIIIIIIIIIIIIt <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, Constructfon Plans, Stormwater Plans w/ Silt Fence I�stalled, <br /> Sanitary Facilities & 1 dumpster; Site 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 constructio�. <br /> Minims:m ten (10) working d2ys after submittal d3te Required orsite, Con:sr.rurtion Plans, Storr*r,vater Plans �,v/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Pertnit for all new projects. All corimercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> "*'PROPERTY SURVEY required for all NEW construction. <br /> Dlrectlons: • <br /> Fill out application completely <br /> Owner & Contractor sfgn back of application, notarized <br /> If over 52500, a Notice of Commencement la requlred. (A/C upgrades over $7500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER TFIE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoVSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />