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8��-�so-oozo City of Zephyrhills Permit Application � 12�� " F ax-813-780-0021 <br /> Building Department � <br /> Date Received Phoae Contact for Permittin $ � 3 °7� � � -- � ✓ �� <br /> Owner's Name ��NN�" �r/�S Owner Phone Number i/�/ 7� �' ✓��t/ <br /> �SS50 Lr6/fTwA✓E A2.'�?l� C 3���m � '. � <br /> Owner's Address �M9fl�/1 � Owner Phone Numb�r { <br /> R F <br /> :� � �IS.�r� � ,�A <br /> Fee Simple Titleholder Name � Owner Phone Numb�sr <br /> , <br /> Fee Simple Titleholder Address ? <br /> ", <br /> JOB ADDRESS ��C.�� I M 6/-L � l/ I� .zE�Ny/Q,y1LL;i ,; , �'� "�a� :�� � LOT # � ,�� <br /> � <br /> SUBDIVISION E/LI�Np /�AIe/� PARCELID# o3 �� �Jd `�QQQ! ���� <br /> (OBTAINED FROM PROPEttTY TAX NOTICE� <br /> WORK PROPOSED � NSTALLSTR e REPAIR � SIGN Q � DEMOLISH <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK /V f� C�/VST�PvCT/'�/V '°' �O !�t/✓/yO��S <br /> BUIIDING SIZE � SQ FOOTAGE i�oL � HEiGHT � Sr�� 7 <br /> �7"rrrrrr <br /> �BUILDING $��� Gsp VALUATION OF TOTAL COIVSTRUCTiON <br /> �ELECTRICAL $ 3 y � o AMP SERVICE � PROGRESS ENERGY � NV.F�T;�S.C. � <br /> �PLUMBING $ �_(��� < <br /> 7 <br /> �MECHANICAL $ VALUATION OF MECHANICA� INSTALLATIOh � <br /> �f � �/S , <br /> OGAS Q ROOFING Q SPECIALTY � OTHER � <br /> FINISHED FLOOR ELEVATIONS �r FLOOD ZONE AR�A �YES NO <br /> ' �� <br /> UUt <br /> -.F-#--F.-6-.�-.�t..#.-.� .- <br /> BUILDER COMPANY ��N��� / / Q��S —� <br /> SIGNATURE REGISTERED Y/ N FEE Ct� Y/!�t <br /> Address �ss$� L/�.F/TWA �.�/0 CLfM�PNA FL,� `G� LicervSe # C- � � /�sl � �Cp G� � <br /> I <br /> ELE�TRICIAN COAAPANY +� C LEC'T1�./C.' -�i�,/� • <br /> SIGNATURE REG1SrERED Y/ N FEE(�k Y!N <br /> Address /03�{ .S'K�P �0 %A N , Ft 33G1,j ucer,se # F� AOO .2S'? � � <br /> PLl1nn�'�R COMPANY BM IN P��'�//i� Cr' <br /> SIGNATURE REGISTERED Y/ N FEE CU12RE� Y! W <br /> 1 - L ` �'" +" " , <br /> A��.��5 632� i F viE�r F'� .� ���,5� # � � �. :.� �� , �"u ,� � � <br /> MEC��"•�ICAL Gl9'•,f�AJt'T ��L;rry�,�;l�rtr' t� � �L <br /> COMPANY <br /> SIG P ''�^ E REGtSTEREO Y! N FEE Ctti�En Y,' P) <br /> y '�' <br /> A,��.P�S l'�D.BoxS o8 R oN�Pu�,rr t.3'l`��i' ����� ��9��►S� (o <br /> a <br /> OTN � � COMPANY �� �S 1 �1('� � A1$r G�Jf� �L ,; � RGeA'�i ���►. ' <br /> SIC '^E REGtSTERED Y/ N FEE CURRfM1 ` Y i N � � <br /> �' �5 y�j 1.�NF Bt,.vo S'PR��vb f!/t.L L2 �y"1• 'J License # :..��— [_ ��'� �'^ r <br /> IIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIi11I111I11l1i111I1!!t <br /> RF �� �''^ L Attach (2) Piot Plans; (2) sets of Building Pians; (1) set of Enargy Forms; R-0-W Permit for new cortsfix�on, <br /> Minimum ten (10) working days after submittal date. Required onsite, Constructio� Piarts, Stvrmwater Ptans r�/ Silt Fence i�ed <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/farge pro}ects <br /> CO�"^ ^'' ^^� � L A�tach (3) complete sets of Building Plans pius a lffe Safery Page; (1) set of Energy Forms. R-O-W Pertn� for new �_ <br /> Minimum ten (10) working days atter submittai date. Required onsRe, Constn+ctiori Piarts, Stormwaler P1��s rv� S�t Fenoe �ed. <br /> Sanitary Facilities & 1 dumpster. Site Work Pertnit for ali new projects. Ail commeraal requirements must me� oomp�anoe <br /> S1�"' � "'T Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> ��, , , ,j�� ,a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , <br /> Dire <br /> � ��niirtion completely <br /> � �on�ractor sign back of application, notarized <br /> ' ' S�^, a Notice of Commencement is required. (A/C upgrades over 57500) <br /> *' � r the contractor) or Power of Attomey (for the ovmer) would be someone with notarized letter from owner authodzing same <br /> OVE� �UNTERPERMITTING (FrontoTApplicationOnly) <br /> Rerr `-� ,•!� s Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) � <br /> �ys-N�t over Counter if on public roadways..needs ROW ' � <br /> i <br /> 1 <br /> � <br /> � <br /> k . <br /> t <br />