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a��-�ao-oo2o City of Zephyrhills Permit Application �( Z�� Fax-s�saso-oo2� <br /> Building Department "' 1 ` <br /> ; <br /> Date Received Phone Contact for Permittin $� 3 T�!A -- �✓�� <br /> Owner's Name � ENN�/� �/Y/�� Owner Phone Number �/ �/ 7 �° �QQ <br /> /5550 6 rwAVF J�1 .�2/a C 33�sm ��� <br /> Owner's Address Ll � �fA�fKi9ff'R �- Owner Phone Numbar <br /> Fee Simple Titleholder Name � Owner Phone Number ' <br /> Fee Simple Titleholder Addreas <br /> i <br /> JOB ADDRESS �Q ilVYl l �E/�7 rRl�/L� ,� l'L ✓'� .'�e7 C� �OT # +� �" . <br /> SUBDNISION E/L19N0 /�ffl�/� PARCELID# o.�'�'Gr °2�° �� 3Q `[�(�QQ"�Q��� <br /> (OBTAINED FROM PROPfRTY 7AX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q � DEMOLISN <br /> � INSTALL 8 REPAIR ' <br /> PROPOSED USE Q SFR Q COMM � OTHER � <br /> TYPE OF CONSTRUCTION � BLOCK O FRAME � STEEL Q <br /> DESCRIPTION OF WORK NFw Co�vsrRvc riv�/ " �O GC/�/iyOM�S <br /> BUILDING SIZE � SQ FOOTAGE ��� HEFGHT o� '`���� 7 <br /> �"�" <br /> �BUILDING $ �/' ��O VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ 3 y � o AMP SERVICE � PROGRESS ENERGY a W_R:�.0 <br /> �PLUh1BING $ �i � <br /> 7 <br /> �MECHANICAL s y � ys VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER �. <br /> FINISHED FLOOR ELEVATIONS [� FLOOD ZONE AREA �YES NO '; t <br /> _, <br /> .,�.1�.�-,a,vt..a...�_r_ <br /> BUILDER Cp(y�PqHY +������ f7d�.�S <br /> SIGNATURE REG�STERED Y/ N FEE CI�EN y/ H ^Y i' <br /> Address �S$$ �16NT1+/ �.?io �'cf�PN,�it, Fi. 3 l0 Licerzse # ��T C✓s�� f��' <br /> ELEr,TRICIAN COMPANY �MDI1/�ip/�,i+ �Lfl'�/4jt''i -��/(� • <br /> SIGNnTIIRE REGISTERED Y/ hl FEECUl�Eh Y/N <br /> p,ddress /03y .S'K/P/�J2 IR N. F�C �3G1,� �icense# F� AOD .?S'1 � � <br /> PLU"„'rR COMPANY v�IIN P�i�`N�l/1!(s' <br /> SIGNATURE REGISTERED Y/ N FEE Cl�tEn Y! N <br /> ACI.+.noq V.7L / � /.7 V�EW 1�L.7 , License# t.. r� �✓ �`V � �� ., � <br /> � <br /> MEC ^^'�CAL COMPANY �Ay/OA,J�T Pt Ud1A,t;/A� G- ,�{t�JTi.•�t�T � f}�i�,. <br /> SIGf "'E REGISTERED Y/ N FfE Ct1f�tEh Y 1 N <br /> A��!r��5 ��•L70X-�.308 O Ff!'Uyv; t...3�i�/►7a/ L'tcense# �l�i'��.�,�i`�O �� � <br /> OT�+cn COMPANY �' ��'ICL•1N(t C�}�,!/ft�� i r/QGGY�✓ll.� �y/C�• <br /> SIC '^� REGISTEREO Y/ N FEECURREt� Y?N � <br /> � � �s yz�l �'NoAI l.� f 8�vo �SPR�NS fli�.c Gc 3i� 'I License # �:.?°,� - L DS '? ��/ � <br /> IIIIIi11111111111111111111111111111 <br /> RF �� �^ � Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms, R-O-W Permit for new cwastruction. ' <br /> � <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Pians, Stocmwater Ftasts w1 Si![ Fervice i�ed, , <br /> Sanitary Facilities 8� ' dumpsYer; Site Wohc ?enn�t for subdivisions/la�e �ro}ects <br /> COr ^^^ �^�� rt L Attach (3} comptete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-Y�� Pemtit for new coristruc6on. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Ptan� Stn�rtwater p�ans w/ Sift Fence it�sEaNed <br /> Sanitary Facilities 8 1 dumpster. Site Work Permit for all new projects. All commercial requirernents must meet canpliance <br /> SI�" � "'T Attach (2) sets of Engineered Plans. <br /> "'*PROPERTY SURVEY required for all NEW construction. <br /> �I..I•. ' ° .i a ■ ■ ■ ■ . ■ i ■ ■ ■ ■ ■ ■ . ■ ■ . • <br /> Dire <br /> � nnii�ntion completely <br /> � Con ractor sign back of application, notarized <br /> ' 75�^, a Notice of Commencement is required. (A/C upgrades over 57500J <br /> ** � r the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner auU►orizing same <br /> OVE^ �U�irERPERMITTING (FrontofApplicationOnly) <br /> Rer � = Sewers Service Upgrades A/C Fences (Pbt/Survey/Footage� <br /> �ys-N�t over Counter if on public roadways..needs ROW <br /> 3 <br /> � <br />