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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0 � �� <br /> Building Department <br /> Date Received , 'k 3r <br /> Phone Contact for Permittin �� 3 'y 7�p -- Q 3� <br /> Owner's Name ��IV NIl�� �O/VJE� Owner Phone Number ?.2 7' � 9" �/ ���'� <br /> Owner's Address ���s� �/ 6NT�.vgvE .�2 G� `'`330w er Phone Number � ( C/g <br /> � �?✓l L <br /> Fee Slmpte Titiehold�ar fVame Owner Phone Number <br /> Fee 8lmple Titleholder Address <br /> JOB ADDRESS �l (,o t� I C� v t Y � l v��,� Z�H •C���(,�S , FL 33 S�Z �or #� <br /> SUBDIVISION �� L pN� �Q�'C � PARCE� ID# �3 — ��p — a �— Q250 — �{)��— � l.� � <br /> (OBTAINED FROM PROPERTY TAX N0T1C� <br /> WORK PROP03ED � NEW CONSTR 8 AOD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE O SFf2 Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK a FRAME Q STEEI Q [-- <br /> DESCRIPTION OF WORK N�hI CONS'r/4 T/Ol� "' V f(�(,/�JS <br /> ___� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT SlsL 3?�i +! <br /> �BU�LDING $� � oo VALUATION OF TOTAL CONSTRUCTIpN � <br /> QELECTRICAI $�C,*LO � bO AMP SERVICE � PROGRESS ENERGY � W R,E_ _ <br /> QPLUMBING $ � sC, , OO <br /> QMECHANICAL $ 232Q , � O VALUATION OF MECHANICAL INSTALLATION <br /> QGAS O ROOFING � SPECIALTY � OTFtER <br /> FINISHED FLOOR ELEVATIONS F�OOD ZONE AREA QYEg I�p <br /> BUILDER COMPANY LEN/�Vl�L � +Ay�'.Sr <br /> SIGNATURE �� Y � N � , Y j <br /> Address � SSS� L !� �• �?/0 CCfipQIV /cL 3.T'��O License # � C�j � �S� 8 /� �r 6 <br /> ELECTRICIAN COMPANY �I�/`�oM.,SoN EZ�K�/� .2J1/C • <br /> StCiNATURE REC�S7ERED Y/ N �E Cuas�� Y! N <br /> �4ddress /03'y .S'X/� E/C , �'AM �0 FL ,33L/ iicense r� EC4O D.�,$' . <br /> PLUMBER COMPANY F� /� L� PG ✓NIiQ�//V� '� <br /> SIC3NATURE REGISTERED Y N . Cu�REn � Y N; <br /> � <br /> Addreas 632'7 N E L 33578 _�cense � CFG D Z/ s'D D <br /> MECHANICAL COMPANY I3AyDMFT �✓M6�N HF�lrl�tK � � /¢G <br /> 31GNATURE REGISTERED Y� N FFE CV2REN Y' N <br /> Address � � • 80)c .S' T �O//vT FL ��'G License # �CO$ $ � (a 2. � <br /> OTHLR COMPANY C.�TfiQL�NL IQ / /��q4�dL� I+N�C <br /> SiGNATURE REGISTERED Y/ N � ��h Y/ p � <br /> Address yl//.9 D/4 U E 8GA/o S �Nf /�/l.� 07 Licertse# �C— C OS7 gg ! ) <br /> ���� <br /> RESIDENTIAL Attach (2) Piot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construcbor. <br /> Minimum ten (10) working days after submittal date Required onsite. Construction Pians, Stormwater P�r,s x� Sitt Fe++ce a�� <br /> Sanitary Facflities 8 1 dumpster; Site Work Pertnit for subdivisions/large projects <br /> CONFMERCIAL Attach (3� compteta sets of Bul{ding Plans plus a Lffe Satety Page; (1) set of Energy Fwms R-O-W Perr�n ior nev, cor,scrs,��„ <br /> Minimum ten (10) working days after submittal date. Required onsite, ConsWction Pians, St+o�mvra� Plarts vw �tt fence ;� <br /> Sanitary Facilitles 8 1 dumpster. Site Work Permk for all new projects. All commercial requiremeMs must meet � <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directlons; <br /> Fill out application completely <br /> Owner & Contractor sign back of application, notarized <br /> It over 52500, a Notice of Commencemen# is required. (A�C upgrades over 57500 i � <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone w�th ^�tanz=� =r.e `�^T =�, -;- =__;-e�-,-, �,.-< <br /> OVER THE COUNTER PERMITTING (Front af Appiication Onty) � <br /> Reroofs ff shingles Sewers Service Upgrades A/C Fencas (PIoVSurvey/Footage) <br /> Drfvewaya-Not over Counter N on public roadways..needs ROW <br />