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`►� � <br /> s��-�so-oo2o City of Zephyrhills Permit Application ¢ � 22 � Fax-813-780-0021 <br /> . Building Departrnent " <br /> Date Recelved S� 3 � 7( _ O 3��3 <br /> -� Phone Contact for Permittin <br /> Owner's Name ��NNA� 0 �/ES � Owner Phone Numbor t/�/ y �- ���Q <br /> /Ssso L,�`�rwh►vF J�'1.�?/o'C ���so �'.�. <br /> Owner's Address 4�yQ�pl/�ff/1 fiC. Owner Phone Number ' <br /> � �t <br /> Fee Simple Titleholder Name Owner Phone Number ',.�; <br /> , �; <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS 3�1.F� ZE��yRN��l,S' ,�� 33 �yC� LOT # g5 <br /> SUBDIVISION EILI�1Np /�/f�Q/�. PqRCELID# Q� ""2�� �� 30 Q(�- �� <br /> (OBTAINED FROM PROPERTY TAX NpT1C� <br /> WORK PROPOSED � NEW CONSTR � ADD/ALT Q SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM O OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK /VFW Coiv�SrRvcTiv�/ "'� TO Gt/N�OMI�S <br /> BUILDING SI2E SQ FOO� AGE C� HEIGHT e� �3'TO� y � <br /> .__� <br /> �BUILDING $ 3�, G50 VALUATION OF TOTAI CONSTRUCTION <br /> a, <br /> �ELECTRICAL $ 3 y � o AMP SERVICE � PROGRESS EI�RGY Q W.{�C. <br /> a� <br /> �PLUMBING $ ���, � <br /> �MECHANICAL $ � � �` VALUATION OF MECHANICAL INSTALLATION <br /> J <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD 'ZONE AREA �YES NO <br /> -�F-1-�-�.•..�-.-. <br /> BUILDER COMPANY �EN��� QM`S <br /> SIGNATURE REGISTERED Y/ N FEECtA�+ Y!N <br /> Address �SSSD 4LH OR �.T/D GLE9/PN9TE/�� FL 3 �O License # C�T C�sf 8/�p (p � <br /> ELECTRICIAN COMPANY OMoN.sO�/ �t ffTi�/G 1NG • <br /> SIGNATURE REGISTERED Y/ N FEElX1f�EN Y/N <br /> Aadress /03y .S'K�� %A A, F,� 33G/,3 �icense # FC O00 �S'� <br /> PLU^"�'�R COMPANY v M IN PrC✓NJB/N G' <br /> SIGNA7URE REGISTERED Y/ N FEE CURREA Y/ N <br /> A��.p�5 `32� y � �,Ew �.� � ��ce� # C FC 4 a/5Q (3 � <br /> MEC��^�'ICAL COMPANY �A5/ONFT �vM�B/N� I'T��t!(r � +R.r <br /> SIGt '� �rE REGIS7ERED Y/ N FEE CURREk Y/ N <br /> n ^:� <br /> A�+�!re5s P D.Box-s3 EYTD/ryT L.��`?7 L1C8(1Se # C-�7 C-OS8 ��y ,��,`'��� ` <br /> OTu�� COMPANY C .S ,�!!V(r <br /> R �/��„ ,Qoa���. 7vc• <br /> SIG "'�^F REGISTERED Y/ N FEECURREh Y/N <br /> �����5 y�l � SHoAI �.�NF 8t-vQ �SPR�H6 flrcc <'c 3yi � ucer,se # L�'C— �'' D,$7 99/ <br /> IIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIII111111111f11111t111i1111 <br /> RF °�� � ��� L Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Pertnit f� new consinx,�tion, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Ptans, S6ormwaUer Plans w/ Si1t FEnce ms�ged <br /> Sanitary Facilities 8� 1 dumpster, Site Work Pertnit for subdivisions/large projects <br /> �Or.� ^^ � ��! n� �„ach (�} complate sets of �uolding Plans plus a �fie �afety Page, (1) set of Energy Fortns. R-O-1M Permit for nevy �. <br /> Minimum ten (10) working days after subn'iittal date. Required onsite, Construction Ptans, S6ortrtwater Pfans �y/ S�t Fenoe �d <br /> Sanitary Facilkies & 1 dumpster. Site Work Pertnit for alt new projects. All commercial requirements must r�eet oo�r� <br /> SI�*� ^ ^^!T Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> .�..�-.. , , � .� <br /> Dire <br /> F 'npliC%� completely <br /> r ror�ractor sign back of application, notarized <br /> ' 2 sn�, a Notice of Commencement la required. (A/C upgredes over 57500) <br /> " � r me contractor) or Power of Attomey (for the owner) would be someone with notarized letter from ovimer authoriang same <br /> OVE^ oUNTER PERMITTING (Front of Application Only) <br /> Rerr � �r �--�i�s Sewers Service Upgrades A/C Fences (PlovSurvey/Footage) <br /> ' �ys-N�t over Counter ff on public roadways..needs ROW <br />