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a��-�so-oo2o City of Zephyrhills Permit Application '� !��� Fax-813-780-0021 <br /> Building Department <br /> Date Received $ i 3 � 7( _ D 3 6�3 <br /> Phone Contact for Permittin <br /> Owner's Name ��N/✓19„ 0/VIES Owner Phone Numbor �/� / y �- /�op <br /> Owner'aAddress �SS50 L.�6�fTwA✓F A? .�?/0.(' 337im � X: <br /> ���� k Owner Phone NumbAr � <br /> Fee Simple Tttleholder Name Owner Phone Number �'� ' <br /> ;{ <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS ��� � ( � ZE,nyyRN/�L.S FG. 33 ��{ p LOT # �� <br /> SUBDIVISION ��LpNO PAR� PARCEL ID# 03 -�6 - 2 t- O 2 3 O- Q p-� yl� <br /> (OBTAINED FROM PROpERTY TqX MqTIC� <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN � � DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL O ----� <br /> DESCRIPTION OF WORK /I/Fw Co�vsrRvcr�o�/ "— TOGt/i1/�QM�S <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT a�o�e y <br /> OBUILDING $�,� GSO VALUATION OF TOTAL CONSTRUCTIOiJ <br /> QELECTRICAL $ ? U,I qMP SERVICE �' PROGRESS ENERGY a yy_�,�. <br /> ✓ 7 �J' <br /> �PLUMBING $ � �� <br /> �MECHANICAL $ y��,s VALUATION OF MECHANICAI INSTALLATION <br /> �GAS � ROOFING � SPECIALTY <br /> � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �yEg Np <br /> - �H — � - + .- �-;-�— <br /> BUILDER CpMpqM• ��N/��il Q/y�S <br /> SIGNATURE REGISTERED Y/ N FEECUF�N <br /> Y/N <br /> Address /SSSo 46r1 �.�/0 CLE91PNRTE�(� FL,� !o ucense # CG C/Sl8 /(o (o <br /> ELECTRICIAN COMPANY OMoNSpN C LECl�,K/C� �i�,f� . <br /> SIGNATURE <br /> REGISTERED Y/ N FEE c�t� Y/ N <br /> Address � � <br /> /03�{ �P /A , fit 33G/3 ucense # F� Ao0 �S7 9 <br /> PLU^^AFR COMPANY BM{N PrGtlNlg/NG- <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURF�N Y/ N <br /> Ad�+ro�q �7L / y v�EW L� / �.IC2f1S@ # l. 1—` O a? /V D 4 <br /> MEC�'^^'ICAL COMPANY �Ay�,vFT f�t vM�/N�s' �Er9Ti�n/( �' /C�� <br /> SIG� '��1'E REGISTERED Y/ N fEE CURREh Y/ N <br /> Ad�iress l� �•807�-'�.30 � r <br /> fb � 3���y' �;�# CACDS�'c�(v2��� � <br /> OTN« COMPANY C •S��RU1Vlr <br /> SIG "�nF �RLII /QQ��IlC� �,/�C <br /> REGISTERED Y/ N FEE CURREp Y/ N <br /> �� ��5 y�ll SyoA� 1.� f B�vQ SPR�N6 �Slicc �C �yi � C' � Q �. 11 <br /> ucerue # �C- OS <br /> IIIIIIIillilllllillllllllllllllllll <br /> RE ^�� � ��� � Attach (2) Piot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W permit for ner„ � <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Pians, Sbormwaber pfans vr1 S�t Fer�e ir�g� <br /> Sanitary Facilities 8 1 dumpster, Site Work Permit for subdivisions/large projects <br /> COnf ^� �^�� n L Attach (3) complete sets of Bu;lding Plans plus a Lffe Safety Page; (1) set of Energy Forms. R-0-W Permit fo� new c�� <br /> Minimum ten (10j working days after submittal date. Required onsite, Construction Plans, gtormwat,�r p1� �y� � F� � <br /> S' ^ Sanitary Facilities 8 1 dumpster. Site Work Permit for all new projects. All comm¢rcial reyuireme� ��� <br /> "" T Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constr�ction. <br /> ..�4.. , a .y� <br /> Dire <br /> F , npiic�tion completely <br /> � �o��ractor sign back of application, notarized <br /> ' � 5�^, a Notice of Commencement is required. (A/C upgrades over S7500) <br /> " � r the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner auttioriarg sacne <br /> OVE� OUNTER PERMITTING (Front of Application Only) <br /> Rerr �,! --�i� Sewers Service Upgrades A/C Fences (PIoUSurveylFootage) <br /> ' �ys-N�t over Counter if on public roadways..needs ROW <br />