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e�saso-oo2o City of Zephyrhills Permit Application FaX-s,s-�so-o -���.�, <br /> Buflding Department <br /> Date Received -`U ' L� Phone Contact for Permittin �� 3 y �( __ 0 3 63 ` <br /> ;�. <br /> Owne�'s Name hF /V r4l /ql'e K ON� E� Owner Phone Number �il 7) 7�9� ���� �� <br /> Owner's Address ���'�o La 6yTw�gvE �z/O 337�0 (' � <br /> CcEARM/R �� Owner Phone Number � <br /> Fee 3impie Titlehoider Name Owner Phone Number � <br /> `1 <br /> Fee Sfmple Tltteholder Addresa ! <br /> JOB ADDRESS �P�2 , L.�n� , � ,�-� �n,PZ E� , FL 335�� �or a ��� p <br /> �,c,� p �j�� 2/ � <br /> SUBDIVISION N� //�l�k' h'�f14� �ARCEL ID* ,..! "' � �p '� ! — �2�0 - �()�)— �D�.�. Q � <br /> (OBTAINED FROM PROPERTY TAX NOT)CE) <br /> WORK PROP03ED NEW CONSTR ADD/ALT � SIGN � � QEMOLiSH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BIOCK O FRAME � STEEL Q <br /> DESCRIPTION OF WORK /VFhI �ONS7'/��CT/DI�I '� V/LL/�IS <br /> BUILDING SIZE �--� SQ FOOTAGE r� 0 HEIGHT S�( L��# � <br /> �BUILDING $��� �O VALUATION OF TOTAL CONSTRUC i!ON i <br /> []ELECTRICAL $ �� 1 � AMP SERVICE �' PROGRESS ENERGY � ,�y � � ;;'� <br /> QP�UMBING $ � rr � OO <br /> J� <br /> �MECHANICAL $ 2 ,� 2Q � VALUATION OF MECHANICA� INS`�_v`,TIO'ti <br /> OGAS Q ROOFING Q SPECIALTY L� OTHER '� <br /> FINISHED FLOOR ELEVATIONS �� �a FLOOD ZONE AREA QYES NO �� <br /> BUILDER COMPANY LENAEA+R ,�I �„�.S <br /> SIGNATURE rtEGrsrEREp YJ N t�e y� <br /> Address � SSSO L/ A✓E �j. �?/O CCfA�N FL 3J9LD i �rense � C6� �Sr 8,/ � 6 <br /> ELECTRfCiAN COMPANY G I��oN.SoN �EL.K�'rC,lG ,,TjV,C . <br /> SICiNATURE RE(�.qTERFC Y/►v F� �;�, {, y <br /> Address /D�y .S'/1.'I�PE D. � R j'G 3�lr/ ��cense # ; � �QD.?�$"'f � � � <br /> i <br /> PLUMBER COMPANY �� �/�I PL t�/�iC�/��' } ' <br /> SIGNATURE i <br /> REGISTEREC � Y fV -__ � y },� <br /> � <br /> T <br /> Address �0327 N ✓ E L 93578 _ cers: - CFC D�Z / SO O ' <br /> _ ; <br /> MECHANICAL I COMPANY BA�/ONfT �✓M61N6 � f{F ,� f�G <br /> SIGNATURE I <br /> REGISTEREC Y T c_E ��tq£�, ' ti ` <br /> Address � 4• 80x Er�oiaT Fe 3�` L�cer�se ss j CA�QS S���- � <br /> OTHER COMPANY C S1�iQL/�VL �jQL/ ��4�.� , � 1 � . , <br /> SIGNATURE REGiSTEf2ED Y! h ��� y j� , <br /> Address N1// ,9�,IpA UNE 8Lt/D S/tlRK fJJ �( D 7 ��;�� C_ C� S 7 �� r <br /> t �� ttt � iiriiiititii ����� i ��i�ii���i�ti��i�ii���ii�i�����t������� tri <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building �!ans, (1) set of Energy Forms, R-O-V� Permrt for new constrE,c;�ar, <br /> Minimum ten (10) working days after submittai date. Required cnsite Construcrcr. p!ans S'or^�water ?`a�; .w Sir =�r-= - <br /> Sanitary Facilities & 1 dumpster, Site Work Permit for subdivisionsllar e y $��� <br /> g pro�ects <br /> COMMERCIAL Attach �;3) complete sets of Buiiding plans plus a Life Safety Page; (� ) set v{ Ene-�y Forms R-��-LY Pgr-�q tpr ��.�; �� <br /> Minimum ten (10) working days after submittal date. Rec�uired onske, Construc::on Pians, S�wa�er ix3ns wr � F� <br /> Sanitary FaCilities & 1 dumpster. Site Wortc Pertnit for all new projects. All comr^.ercial requuemerus musi mee4 comp� <br /> SIGN PERMIT Attach (2) sets of Engineered Pians. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> i <br /> Directions: , <br /> Fili out application compieteiy � <br /> Owner & Contractor sign back of application notarized � <br /> If over 52500, a Notice of Commencemen# is required. (A/C upgrades over 3750C � j <br /> " Agent (for the contractor) or Power ot Attomey (for the owner} would be someo�e wrtr - �.,a _ = e - _ _ - _ _ -- _ -- _ _ _ _ _ <br /> OVER TNE COUNTER PERMITTING (Front of Application On1y) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoVSurvey/Footage; ? <br /> DNvewaya-Not over Counter H on public roadways..needs ROW � <br /> ,�: <br /> � <br /> � <br />