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813-780-0020 '� <br /> City of Zephyrhills Permit Application .�fi �� u � Fax-813-780-0021 <br /> , Building Department q�� <br /> Date Recelved Phone Contact for Permittin i� 1 3 y 7G __ 0 3 63 <br /> Owner'a Name � F N IV q/'e � D NJ E� Owner Phone Number 7.Z 7� ���" �/ �� <br /> Owner'sAddress ��/��� �/6l1�TG�lg(/E �Z/0 33 <br /> CtfARp/q (�G Owner Phone Number <br /> Fee Simple Tftieholder Name �— —� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ) Z�/y IC/�/L[S � FG �35�2 LOT # I I 1 <br /> SUBOIVISION � � L �N� /fjlQl�.' /�If PARCEL ID# 03 ' � tp '� �— 0250 - �(���^ ( � � � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT O SIGN � � DEMOLISH <br /> INSTALL REPA�R <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME O STEEL � <br /> DESCRIPTION OF WORK NFh� �O/VST/Q T/O�V '- VfLLI�S <br /> BUILDING SIZE �--� SQ FOOTAGE i� HEIGHT SbL STb�C <br /> �BUILDING $� n� 0o VALUATION OF TOTA� CONSTRUCTION <br /> � <br /> �ELECTRICAL $ 2�20 � bO AMP SERVICE � PROGRESS ENERGY a W R.E C <br /> QPLUMBING $ (� 5C, , OO <br /> _� <br /> OMECHANICAL $ 2 ,� 20 , � Q VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS �/,� p�j FLOOD ZONE AREA �YES NO <br /> V <br /> BUILDER COMPANY LENNA� � oM,�S <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address SD Lis �✓E �t. ��ie uf,�r�e,v Ft s.s7lo License # C6G /Sl8l6 ( <br /> ELECTRICIAN COMPANY G d/'�ONSoN ELEC �!C SNC � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address /03y .S�l�'i/PE . � '�9M �0 FG 33l./ �icense # E�voo,�s79 <br /> PLUMBER COMPANY � M W PL t//✓Ii(��1�/� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address 27 N E L.q3 S'78 License # CFG �,Z / SQ 0 <br /> MECHANICAL COMPANY BAyONfT �✓+��N 1�EA�7Nt � � /�C <br /> SIGNATURE REGISTERED Y/ N FEE CURREK Y f N <br /> Address � •80X .'S30 ONFr�O/N �L��'�r Licensetl �C�SB �6 2.• <br /> OTHER COMPANY C STE�QL�N� �(//j � /�00�/Jt/!. ,rj1K• <br /> SIGNATURE EGISTEREO Y/ N FEE CURREN Y/ N <br /> Address // .9�IpA UNE 8L✓D s/21JV` fi�/Gl �j07 License # � t,. - C o5 � 4 9! <br /> IIIIIIi <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 Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Pians pius a L'rfe Safety Page; (1) set of Energy Fortns. R-O-W Permit for new construction. <br /> Minimum ten (10) woiicing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Si1t Fence installed, <br /> Sanitary Facilities & 1 dumpster Site Work Permit for all new projects. All commercial requirements musf ineet campFiance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: • <br /> Fili out application completely <br /> Owner 8 Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over 57500) <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 (PIoUSurveylFootage) <br /> Drivewaya-Not over Counter if on public roadways..needs ROW <br />