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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0 �� �� <br /> Buiiding Department <br /> � t Y �� <br /> oet. Re�►„ea 8� 3 y 7G ._ 0 3 63 �� <br /> Phone Contact for Pertnittin <br /> TT p <br /> Owner's Name � F N N 19�Q K ON) E� Owner Phone Number 7.Z 7, 7 79" �/ �� <br /> Owner's Address ��s'SO L/ 6NTWg vE � CtEqRN/q �� er Phone Number � <br /> Fee Simpie Titleholder Name Owner Phone Number <br /> Fee 3imple Titlsholder Address <br /> JOB ADDRES3 7 lt TV Z Ei°H �CN��CS , FL 335�� LOT # '� <br /> SUBDIVISION G�L�N� /1�jIQ/�.' �IF PARCEI ID# �3 '� tP'a /'" 02�0 — QU�� 0 <br /> (OBTAdNED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT O SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CON3TRUCTION � BLOCK � FRAME � STEEL Q <br /> DESCRIPTIONOFWORK N�w �ONS?i4i,�CTlO�/ '— VrLL/�IS <br /> BUILOING SIZE SQ FOOTAGE � HEIGHT S6L �f ?'�aE <br /> �BUILDING $� � oo VALUAT►ON OF TOTAL CONSTRUCT�ON ' <br /> 4 <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E. F � <br /> 2520 , b0 <br /> �PLUMBING $ � r� ' OO � ( �( �q <br /> J � � � <br /> OMECHANICAL $ 2� Q � O VALUATION OF MECHANICA� INS'4LlATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY LENA���- �/ '��' <br /> SIGNATURE RE�D Y/ N F!E ' Y► <br /> Address � Sss� LI ✓f �(. �?IO G(f3jP�IV FL 3.T7� License x; Ct7 �i �s� 8�` 6 <br /> ELECTRICIAN C0INPANY ` ��o�S�/ E�-K'��G -�/ti/C • <br /> SICiNATURE RECi13TERfD Y/ N FEE Ctf�E►� Y i N <br /> Address /03y ,f'K/ P . �AM A �G j3!/ �icense # ' ��400�,$" <br /> PI.UMBER COMPANY � M W PG d/✓IiC�//V!� ¢ <br /> 31(iNATURE REGISTERED Y N =eE C'.t�tREn � Y�i , � <br /> ., <br /> Address �0327 N E L•�3578 _,c ense = CFG D Z/ SD O <br /> MECHANICAL COMPANY IjAyONfT � ✓M6�N6� �fF�N� � � �G � <br /> SIGNATURE REGISTERED Y! N FEE CURREh Y' N <br /> Address P �• 80x FT RO//VT �G �9'6 Licerrse �t �C�S 8 d( 2 <br /> OTHER COMPANY C S /Q / /�pq�i�. �j�, <br /> SIGNATURE REGISTERED Y/ N � c�N Y/ N <br /> Address yl// .9 DA NE 8LN0 S Riy6 f//!.� D? u�er,se # C C" C OS 7 9 g/ � <br /> t����ii�i�����tt�i���i�ir�i�i�����ii <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0.W Permft for new construc�on. <br /> Minimum ten (10) working days after submittal date. Required onsfte. Construction Plans, Stortnwater Ptans w� S�tc Fence Ms�iea <br /> Sanitary Facilities & 1 dumpster; Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach (3) comptete sets of Building Plans pfus a Lffe Safety Page; (1) set of Ener3Y Fom,s R-O-w Permit for new cor�svucaon <br /> Minimum ten (10) working days after submittal date. Required onsfte, Consiruction Plans, Stamwa� Plans v�er Si� Fe�ce i�sta�ed <br /> Sanitary Facil(ties 8 1 dumpster. Site Work Permk for all new projects. A�I commercial requiremerxs must me� �� <br /> SICiN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> ... . , . <br /> Directlons: <br /> Fill out application completely <br /> Owner & Contractor sign back of application, notarized <br /> if over 52500, a Notice of Commencement is requlred. {AIC upgredes over 5750G � ; <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with �otanze �=r.e• `�^T ::,• a_;���z�, saT= <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Seniice Upgrades A/C Fences (PioUSurvey/Footage) <br /> DrNewaya-Not over Counter H on public roadways..needs ROW <br />