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� <br /> 813-�80-0020 City of Zephyrhills Permit Application Fax-813-780-002;1 <br /> - Buflding Department � V <br /> � <br /> Date Recetvgd ��C l phone Contact for Permittin V� 3 y �G ._ 0 3�3 <br /> � � <br /> OwneMs Name �.�IV NAJ'� �ONJF� Owner Phone Number ��?i17� 7 79 �/ �� <br /> Owner's Add�ess ����o �/ 6�►'Ti,dgVE .# ``33ow er Phone Number [ � <br /> Fee Simpie Titleholder Name Owner Phone Number � � <br /> Fee Simple Tftieholder Address � <br /> JOB ADDRESS �� `� ��CE. �i,{ I� Z E�H �t,�i�LS , FL 3354�2 �or � f <br /> SUBOIVISION G� �' �N� //�Q�' ��¢ PARCEI ID# �� "� tQ 'a � oz5o - o�oc� �p� �, ` <br /> "� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I'G3I NSTALLSTR 8 REPAIRT � SIGN Q � DEMOUSH '� <br /> LJ <br /> PROPOSED USE � SFR � COMM � OTHER � _ � ; <br /> TYPE OF CONSTRUCTION � BLOCK O FRAME � STEEL � '�. <br /> DESCRIPTION OF WORK NF11I CO/VS7"/Q�CT/O/� — V/L�-/�IS <br /> f2n r --- <br /> BUILDING SIZE SQ FOOTAGE IJ�1�"( HEIGHT SGL ��+� � � <br /> �BUiLDING $��� . aO VALUAT►ON OF TOTAL CONSTRU�T�ON �. , <br /> ..�,� � <br /> QELECTRICAL $�� bO AMP SERVICE �' PROGRESS Ef�i2GY O Uy ��, 4 <br /> QPLUMBING $ � r� ` OO <br /> J <br /> �MECHANICAL $ 2? 2 Q � VA�UATION OF MECHANICA� INS�-�! LA � ION <br /> .7 <br /> �]GAS Q ROOFiNG �] SPECtALTY [� OTHER <br /> FINISHED FLOOR ELEVATIONS �j p� �� FLOOD ZONE AREA QYEg Np f <br /> Da� <br /> y <br /> - P, <br /> �� <br /> BUIIDER COMPANY L.EN�A1 /C� �,I►�,�� # <br /> SIGNATURE Rec�rERSV Y! N � Cua�, y;� . <br /> Address /$'SSD L�� r .�✓F �. �s� ��„ F[ 3J��0 ; , Ce � = C6G /S/ QI6 � <br /> r � <br /> ELECTRICIAN G D'�oNSoN L�L-�f 7K/G .�i1/� . � # <br /> CaYlPANY f <br /> SICiNATURE REC?�sTE�D Y 1 N FEE C;t�tEe. y; ry < <br /> Addreas /03'y SJ�/� . �19M �0 FG 33L/ �,cerrse � �� t�?O E? �, f `'� ' <br /> SIGNABURE COMPANY � M!^I PL t�N�+��/'L�� � y , <br /> REG�STEREC � Y =_=�__c��, X • <br /> Address �0327 N E L 33 S'78 _ � �rsE � ��G 0,� / S � <br /> MECHANICAL COMPANY 13AyoNFr P ✓A1�St/�d ��}E�NL � S' /�G <br /> 31GNATURE REGISTERED Y� ti c�E C��q}�r, � •,� � " <br /> i <br /> Address p �• 80X '.S3o FT �O/N� �G ��'L License # ��'� �S S� b 2. s <br /> OTHER C�ViPANY C S IrI 1 ��a�FJL� .�Nt• ; <br /> SIGNATURE REGiSTERED Y! h� F� ���, Y� p� , <br /> t <br /> Address y1// .9�/DA UN BGYD S I/V6 f//!.� ( D 7 ��' — C D S 7��} /; � <br /> :.� ;ense � j <br /> 11111111111111111111111111111111111111!lllitlliittlilllllifllitilT! ���� <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-V�Y Pertnit for new ;,�,r�;�,cmr <br /> Minimum ten (10) warking days after submittal date Required ensite Construcc cn ��ans Stor��wate: � a-� .4 g:�- =A-�� � <br /> ^t:�1 <br /> Sanitary Facilities & 1 dumpster, Site Work ?ermit for subdivisions/large oro�ec,s <br /> COMMERCIAL Attach (3) complete sets of BuHd!ng Plans plus a Life Sateh� Paga; (�) set of Ene��y Forr,s =c-�-;^. =er-,�-e tc.- �er w:-, <br /> Minimum ten (10) working days after submittal date. Required onske, Constructcr. P°ans. Sto^n.�a:sr a;ar,s ,av S;t; ���� ;� <br /> Sanitary Facilities 8 1 dumpster Site Worlc Permit for ail new projects Ai; comr�e�c,ai requ��e�-�encs �;ss. -ne� c�t.�E <br /> SIGN PERMIT Attach (2) sets of Engineered Pians. <br /> ""PROPERTY SURVEY required for ali NEVb construction <br /> Di►ectlons: <br /> � � „ , <br /> Fill out application completely <br /> Owner & Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (AIC upgrades over 5750C � <br /> " Agent (for the contractor) or Power of Attomey (for the owneri wouid be someone with - �car_= _ �-_ _ :, e• �_•---� �- -_.� _ <br /> OVER TI1E COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shtngles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Drivewaya-Not over Counter if on public roadways..needs ROW <br />