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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Deparhnent <br /> Date Received � $/ 3 � 7 b_ o,3 �3 <br /> Phoa�e Contaet for Permittin <br /> Owner's Name ��NN�7" 0/yEs Owner Phone Number l/�/ y -^ ���D <br /> /Ssso L���rwAVF Az.�?l� C 3 ��so �---�=�� <br /> Owner's Address �EA�(I�19lf/1 Fl. Owner Phone Number <br /> � ;. <br /> Fee Simple Titleholder Name Owner Phone Number ;�. <br /> �� � <br /> Fee Simple Titieholder Address <br /> JOB ADDRESS �� � r zEi"yyRN/tLS �L ✓�3 57 � �OT # �� <br /> SUBDIVISION �/LpNQ /�f�Ie/� PARCEL ID# Q3 — ��O "'2 �� Q � �J � — QQ — Og`� <br /> (OBTAINED FROM PROPERTY TAX NOTICE� <br /> WORK PROPOSED � NSTALLSTR � REPAIR � SIGN Q � DEMOLISH <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK NFw Co�vsrRvcTio�/ '� TO C�//✓�OM�S <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT a sr��e y <br /> �BUILDING $ 3�, G50 VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ � U� AMP SERVICE � PROGRESS ENERGY � W_{�,C. <br /> 7 , <br /> k <br /> �PLUMBING $ ���� <br /> �MECHANICAL $ y � ys . VALUATION OF MECHANICAL IMSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> - <br /> BUILDER CpMpqNy �EN/��i� Q//VJ�S <br /> SIGNATURE REC,�STERED Y/ N FEECU�2EN Y/N <br /> Address ISSSO L/6NT?+/A� �Q �,?/D �� fjyRN,q�,c�� F � '�O �� # �� � �s 8 � � �O <br /> ELECTRICIAN COMPANIf OMon/�ON FGECTi4fG .?•'trlG • <br /> SIGNATURE REGiSTERED Y/ Id FEEfX1Ft�N Y/N <br /> Address io3y :S�C�PPh2 � eflD %�q A, f� 33G/, �icense # � A00 2S7 9 <br /> PLU""��R COMPANY BM {N PiLVA/�/1�,/ (s <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y! N <br /> A��.o�s `32� y is ���,Ew -� .� �,ce� # c Fc o a iso 0 <br /> MEC�'""'ICAL COMPANY 8Ay0,VFT f� vM�B//V�s /TERTiN(r �Iy'�+C� <br /> SIG t '�� 1' E REGISTERED Y/ N fEE CUFtREk Y/ N . <br /> Ac��!ress � � .Bax13o8 �q o�rFrP,�,r L •�`77 LiC@nSe# �rlt-t�S$t%� � , <br /> OTN°� COMPANY C •S ct{/�4L�i /QOGM�i�I+{� �/�/C <br /> SI C `' i^ F REGISTERED Y/ N FEE CURREN Y/ N <br /> �' �� ��5 yzt I syoAL �rNF 8c.vo �SpR�Ne fhcc F� 3yi � uce� # CC- �' OS Q9/ <br /> �� <br /> RE ^� �� ��^ L Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stortnwater Pfar�t �y/ S�t F� �, <br /> Sanitary Facilities & 1 dumpster, Site Work PermR for subdiv�sions/large projects <br /> COM^^���� nL Attach (3) comp!ete sets of Buildinc, Pians plus a Lffe Safety Page; (1) set of Energy Fortns. R-J-W Permit for new construct�n, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Starmwaber pfans w� Sit Fen� ;r� <br /> Sanitary Facilities & 1 dumpster. Site Work Pertnit for all new projects. AIi commerctial requiremer►ts musi meet oomp�e <br /> SI�" "' ''""T Attach (2) sets of Engineered Pians. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> �... " A .�, <br /> Dire <br /> F ���lic�tion completely <br /> C ron�ractor sign back of application, notarized <br /> ' � sn�, a Notice of Commencement ia required. (A/C upgrades over 57500) <br /> "' � r the contractor) or Power of Attomey (for the owner) would be someone with notarized ietter from owner authorizing saine <br /> OVE^ 'OUN'ER PERMITTING (Front of Application Only) <br /> Rerr �-! �-�i�� Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> ' �ys-N�t over Counter if on public roadways..needs ROW <br />