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, 813-780-0020 City of Zephyrhills PermitRpplication Fmt-813-78Q0021 <br /> Building Depadment <br /> Oate Recetved _ Z� �, p�ne CorRact for Permittin ?�l 23 I__ L(o J <br /> owner'sName HI��1T SQV(LS11�{b VWbS, lNt uwnerPhoneNumber 2'05 � 9V2-4Z92 <br /> Owner's Address 451 IwDvi �A l. 1.�1 61Rn�waNAr1 A� ;Sl�� Om�er Phone Number <br /> Fee Simple Titleholder Name MERCHf�NTi STATt ofl I.LC Owner Phnne Number <br /> FeeSimple7itleholderAddress 1t5oY NdRTH��Y-�. D9. C�+ata�ai.1AT� OF1 �152y9 <br /> �oeAOO�ss MERtH�qN7S SC�ur►126 Z345 Gwt� f3�vD ��.�.# � <br /> sueonnsioN PnRCa iox <br /> (OBTAINED FROM PROPERTY TA% NOTiCE) <br /> WORFC PROPOSED � NEW CONSTR � ADD/ALT Q SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM Q OiHER � — p.() O� <br /> TYPE OF CONSTRUCTON � BLOCK Q FRAIu� Q STEEL � <br /> �ESCRIPTION OF WORK las�r+qti�, srocw AAEA RA��nor�, Fimuc uvvr+ �LT1T110i� �`�' � 111 S <br /> BUILDING SIZE SQ FOOTAGE � M6GHT � <br /> [�IALDING $ � � � VALUA710N OF TOTAL CONSTRUCTION �" <br /> � ' /^,,� 1 '`' <br /> �ELECTRICAL $ � � O � t � ' ANP SERVICE �p{�p � PROGRESS ENERGY Q W.R.E.C. .N• � �"K�' <br /> QPLUMBING w//1 $ `' v �� 2 Uc�? ?� � f fJ�— 1 ���'� <br /> /���y � <br /> �Iv�CHANfCRL A/ $ VALUA710N OF MECHAMCAL INSTALLATION ��� �C �� <br /> /�i � <br /> �GAS � � ROOFING � SPECIALTY Q OlHER ������ <br /> FINSHEDFLOORELEV IG1NS FLOODZOf�AREA QYES O "' / <br /> � Net'l� L/RY /W(' <br /> l 4 � / <br /> BUILDER ` CpMPqNy /� �� (.l, I{ L r.-4. <br /> SIGNA7URE � REGISTEREG Y FEEWRREN Y/ <br /> Address sl � i 5� �1� LIrA '�' c;,�fv� /'L ����� ! c <br /> License# �—�� / �✓ �J �gD <br /> ELECTRICIAN � pp�Pqryy �,.�'C(i�/LC�ISTf <br /> S�GNATURE RE31S7EREG Y/ N FEECURREN Y/N <br /> Address License it <br /> PLUMBB2 COMPANY <br /> SIGNA7iJRE RE�isteREO Y/ N FeECUaREN YIN <br /> Adtlress License Jt <br /> MECH/WICAL � COMPANY <br /> 5�6NA7URE REGISTEREO Y/ N �e cuaaeN Y/ N <br /> '��� license �k <br /> OTH62 u COMPANY <br /> 516NA7URE /� RE�ISTERED Y/ N �EECURREN Y/N <br /> Address License 7F <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I t 1 1 1 1 <br /> RESIDENTIAL Attach (� Ploi Plans: (2) sets of Bulldng Plans; (1) set of Energy Fa�ms; R-O-W Permit Tor new constructlon, <br /> Minimum ten (10) working days afler subm�tal dete. Required msits, Constnutlon Plens, Stormwater Plais w! Silt Fence installed, <br /> S�Hary Fadlfites & 1 dunpster, Sfte Wark Permil for subdfvisfonsAarge projects <br /> COMMERCIAL Attech (3) complete sets of BWlding Plans plus a Life Satety Pege; (1) set of Enerqy Forms. R O-W Perrnit for new construction. <br /> Minimum len (1� arorking days aller subm3tal dale. Required ansite, Cansinictfon Plans, Stormweter Plans w/ SiM Fence installed, <br /> Sanitary Fadiflies & 1 dunpsfer Site Work Pertnit }or all new projecls. All commercial requiremerts must meet campliance <br /> SIGN PB2MIT Attazh (� sets of Engineered Plers. <br /> ""PROPERTY SURVEY required fa all PEW construdlan. <br /> Dlrectlons. <br /> Fill out application completely. <br /> Owner & Contreetor sign back W appllcatiwi, nderized <br /> tt over $2500, a Notice ot CommeneemeM Is reqWred. {NC upgrades over $7500) <br /> " Agent (for the corRrectar) or Pawer of Atlomey (Tor tha wrrrer) would be someone v�nlh notarized letter from owner aidhor¢ing same <br /> OVER THE COUNTER PERMIITING (Front of Application Only) <br /> Reroofs iT shngles Sawers Service Upgredes A/C Fences (PIo1/SurveyiFoWage) <br /> �rivearays-NOi over Courter if on public roadways..needs RQW <br />