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s��s-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved $ t 3 y 7G __ 0 3 63 <br /> Phone Contact for Permittin <br /> Owner's Name �F N N Iq/'e I"r ON� E� Owne� Phone Number �%1 7 7�7' �/ �� <br /> Owner's Address <br /> ��J��O L./ 6�7�GdIj f/E •� �i.EARA,�9 (C er Phone Number �- <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS - / , �Fi{� .Lv Z E�H �tfl�[l.�S , FL 335�0 LOT # � 3 <br /> SUBDIVISION ErG/9N� �Qk �IFj"J� PARCEL ID# O� "� �p'� I�' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT O SIGN O Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK a FRAME � STEEL Q <br /> DESCRIPTION OF WORK NFh� �ONS'TR T/D/V " Vf�iL/�I� <br /> BUILDING SIZE SQ FOOTAGE I � O HEIGHT SGL S�� <br /> �BUILDING $� n� oo VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> OELECTRICAL $ 2�20 � bO AMP SERVICE � PROGRESS ENERGY � W.R.E.0 <br /> �PLUMBING $ � �� � QO <br /> QMECHANICAL $ 2� Q, VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING Q SPECIAITY � OTHER <br /> FINISHED FLOOR ELEVATIONS � O D FLOOD ZONE AREA QYES NO <br /> � <br /> BUIIDER COMPANY LENNA� /� OMES <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> qdd�es8 � SSS� L/ 9✓f �/. �?IO GLfi�iQ/V �L 3J License # C6G /S/ 8/G 6 <br /> ELECTRICIAN COMPANY G a�ONSoN E[.ECTIC/G SN� • <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address /03�,/ SK�/ /QO. �/9M A j� �3L/ �icense # EGoo o�s79 <br /> PLUMBER COMPANY �J � � PL ����� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address `327 I� 0 ✓ E L.93578 �icense # CFC O,Z / SD O� <br /> MECHANICAL COMPANY BA�/ONfT �t✓M61N� � HE�ItI'NL ��/� C <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address p 0• 80X S $,o e,vvr�b�n►r Fc ��� �icense # C9CO.S S o6 2 <br /> OTHER COMPANY C S�RL�N� (//Q / �OOy�'/It/G INC• <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y! N <br /> Address y�.// .y/�/D/4 L/NE LVD �' /l/N� /�i�/L( G �j07 License # c.. l. "� � J` 7� g� 1 <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets oi 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 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 construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwatar Pians w/ Si;t Fence insta!led, <br /> Sanitary Facilities & 1 dumpster Site Work Permit for all new projects. All commercial requirements must meet compliance <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 & Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement Is required. (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 THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />