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� <br /> 813-780-0020 City of Zephyrhills Permit Application � f �"` F�� 813-780-0021 <br /> Building DepaRment 1 <br /> Date Recefved Phone Contact for Permlttin 8 r 3 '7' /(O -- �./ �� <br /> Owner's Name � �NN9�\ O�E� Owner Phone Numb�r ` / � / � -/�op <br /> /SSS� l� Ll+�rwAVF A? �2/o C J �� s° � ;�' I <br /> Owner's Address �/�✓/�!!Yl �. Owner Phone Number <br /> � � <br /> Fee Simple Titleholder Name Owner Phone NumbESr �_ <br /> Fee Simple Titleholder Address �� <br /> JOB ADDRESS O l � Y��. ,1'L ��i�'�`/yRN�11S ,�G 3� �j7 � LOT # 6 0 <br /> SUBDIVISION ��LpN� �9�/� PARCEL ID# �3 "' Z� ' 2l' a �� J d' �}Q� °' �$� :'s,' <br /> (OBTAINED FROM AROPEitTY TAX NOTIC� � <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN � � DEMOLISH �� <br /> � INSTALL 8 REPAIR g <br /> PROPOSED USE Q SFR Q COMM � OTHER � i„ <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL O �� <br /> DESCRIPTION OF WORK NFw Co�vSr�Pvc rroit/ "— .�O Gt6/✓�Q/YJ'�5 <br /> BUILDING SIZE � SQ FOOTAGE I���j H�� o� 'sra'� 7 ' <br /> QBUILDING $�// �`� VALUATION OF TOTAL CONSTRUCTION <br /> ✓ <br /> �ELECTRICAL $ 3 y � o AMP SERVICE � PROGf2ESS ENlERGY � �+4/.�;�. <br /> �. <br /> , <br /> OPLUMBING $ ���� <br /> � MECHANICAL $ y � h , s . VALUATION OF MECHAIVICAL INSTALLATION � <br /> �GAS Q ROOFING � SPECIALTY Q OTHER <br /> FINISHED FLOOR E�EVATIONS ��j � FLOOD ZONE AREA �YES NO <br /> 6� <br /> ..�a...R..a-..�..a.,,.� _.�_..�. <br /> �' <br /> BUILDER Cp�pqNY �e�N/{��� Q��S <br /> SIGNATURE REGISTERED Y/ N FEE Ctl� y/(� <br /> Address �SS$� LlGNTf✓ D�? �.�/O �LENRI✓RTf/�� FL.� ��C Lt�n�e # � �T � r � �� {p'�{y � <br /> ELE�TRICIAN COMPANY O/`�+�R/�yQ/ti' �LECT/'C/+C� �,AtfC- � <br /> SIGNnTURE �c�s��o Y/ N FEE CURREi: Y/ N <br /> ,4ddress %03'�{ .S 4 �9 0 %A B. F� 33G/,� License # F� A00 .?�'',� � j <br /> PLl1^nn�R COMPANY BMW Pr(•V�N�BJNCT' { <br /> SIGNATURE REGISTERED Y/ N FEECtJ�tv �y/p <br /> Ad�ro�q 03L7 y � ✓�ENI L � LICE(iSE # L /— � � eS ! �V � .. <br /> MEC`"",�ICAL COMPANY �i9'�/O�Sl�T �vM�B/NLr �{y�fe��Cr '� <br /> SIG P '''^ E REC,ISTERED Y 1 N FEE CUF�tEt� Y/ N <br /> ������5 J°D.Box.s3o8 � q oNErlu�,rr t.3���y' ���# C�9C4S�`�`S �': t'o '-2.�� ` <br /> � /� -- <br /> OTN � •, COMPANY !. • .S� � N{r lj�+-4 s_ i ; ° �4A'� 1L1� � �' . <br /> SIC '^F REGISTERED Y/ N fEECURRE� ' Y!N <br /> � -5 y��l �SyoAL 1.iNf B�vo �SPR��vs r�/iu Gt jy' ? �;c�r,;e # �.',�.- ` �JS ,,� � + j —, <br /> ��i�ii��i��������i������i���ii�����ii�iE����i�i��i������r����i�t��r �, <br /> RF"� � �� L Attach (2) Plot Plans; (2) sets of Building Plans; (1) sei of Energy Forms; R-O-W Permit for new oor�trucf'ror;_ <br /> Minimum ten (10) working days after submittal date. Required onsite, Constrvctiai Pians, Stortnwvatsr Ptans ve/ Sitt Fence �ed - <br /> Sanitary Facilities 8� 1 dumpster, Site Work Pertnit for subdivisions/large projects � <br /> COr"^^' �'^� ^L Attach 3 com lete sets of Buildin Plans lus a Life Safe Pa <br /> () R 9 P ty ge, (1) set of Energy Fortr�s R-O-'�! Permit for new consb�x�ot�. <br /> !�linimum ten (10) working days after submittal date. Required onsita, Construcrion Plans, Stwmwater Ptans w/ Sitt Fence i�Aed. i� <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements mvsf ineet cocnpliance `'� <br /> Si�" °"'T Attach (2) sets of Engineered Plans. <br /> "*'PROPERTY SURVEY required for all NEW construction. <br /> �.,�..• ° { •� <br /> Dire <br /> F ��oii��tion completely <br /> � �or�ractor sign back of application, notarized <br /> ' � sn^, a Notice of Commencement ls required. (A/C upgrades over 57500) <br /> '* � r the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owrrer authorizing same <br /> OVE^ OUnITER PERMITTING (Front of Application Only) <br /> Rer- ����� �� Sewers Service Upgrades A/C Fences {PIoUSurvey/Footage) <br /> ys-N�t over Counter if on public roadways..needs ROW <br />