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813-780-0020 � v <br /> City of Zephyrhills Permit Application '�� Fax-813-780-0021 <br /> , , Building Department <br /> Date Recelved $ / � � � � ` D � �� <br /> Phone Contaet for Permittin <br /> Owner'a Name � FNNq�\ 0/�/Es Owner Phone NumbAr t/ 2� y --��QD <br /> Owner'sAddress �S$ �/6�fTl�vA�/F A?•�?/0 (' ?37io ,+�--� <br /> ��fl�l�9lt`11 Owner Phone Numbor � I <br /> Fee Simple Tltleholder Name Owner Phone Number �'� <br /> Fee Slmple Tltleholder Address �� <br /> JOB ADDRESS 3 `� �� p�t h ZEp�/yRN/�1S �G 33 �yU �oT # �'7 <br /> SUBDIVISION E/L�INp /�ffle/� P,qRCEL ID# 0.3 "'��O '"2�� �� 3Q � QQ' ��� <br /> (OBTAINED FROM PROPERTy TAX Np'I1C� <br /> WORK PROPOSED � N TALLSTR � REPAIR Q SIGN Q � DEMOLISH <br /> PROPOSED USE Q SFR � COMM �� OTHER <br /> TYPE OF CONSTRUCTION � BLOCK O FRAME Q STEEL O �— <br /> DESCRIPTIONOFWORK A/Fw Co�vsr�Pvcr�oit/ "'— TOGtJ/✓�OM�S <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT e� �'TO�Q y <br /> QBUILDING $��� GSO VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ 3 y � o AMP SERVICE � pROGRESS ENERGY O yy.��. <br /> ,� <br /> �PLUMBING $ � <br /> �MECHANICAL $ y � ys . VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING � SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> �"�" <br /> BUILDER CpMpqNy ,LENNf�I'C ,�YDA'J'�S <br /> SIGNATURE REGISTERED Y/ N FEECUFREN Y/N <br /> Address �SS$O 4G �.�/O CLEMRNRTE/t� FL,� �O License # � C�s�� �� �D <br /> ELECTRICIAN COMPANY OMoNSON G GECT/Q/C� SI{/G � <br /> SIGNATURE REGISTERED Y/ N FEECUf�EN Y/N <br /> Address �o3y s�,P �� A, f� 33��3 ��,� # F� �oo �s �� � <br /> PLU^^�FR COMPANY BM{N P.CV�1/Y�/NG� <br /> SIGNATURE REGIS7ERED Y/ N FEE ClA2liEA Y/ N <br /> Ad�roeq �f,�2� y � �/�EN/ "(� � �ICCRS@ # C FC 4 a I50 (� . <br /> MEC��^^�ICAL COMPANY BAyd�t,/FT �FvM�6/N� rIERTiN(r � �c.,. <br /> SIGf '�)f E REGISTERED Y/ N FEE CURRER Y/ N . <br /> Ad�! ress � � • pOX .3 D/VFl �J/NT L .3�f► � License # C/�i C d .S8 � r0 .c.�i�.�_ ; <br /> ry <br /> OTN=? COMPANY C•J C�j /�4Li i /QOGM�i� ,�tt' <br /> SI G '' �^ E REGISTERED Y/ N FEE CURREp Y/ N <br /> �,, ��5 yz���SHoALtiNFB�va SPR�Nif/�u. Fc3�Yi � uc��se# CC-�'O,S7QI/ <br /> � <br /> RE °" '�'', � � Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Pertnit for new oaistruction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction P3ans, Stortnwater plaru w/ Si� Fence insiaped, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COnr^+���� �L Attach (3) complete sets of Building Plans plus a Lffe Safe Pa e; 1 set of E <br /> tY 9�) nergy Fortns. R-O-W Pennit for new cor�tr�tion. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, S6ortnnraber ptans w� S�t Fen� � <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requiremerrts mtst meet • <br /> Si�" "' ""'T Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> �t..1_. ' , 1.y� <br /> Dire <br /> F nqlir.�tion completely. <br /> � Con'ractor sign back of application, notarized <br /> ' z5n�, a Not(ce of Commencement Is required. (A!C upgrades over 57500) <br /> " ' r the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVE^ OUN'ER PERMITIING (Front of Application Only) <br /> Rerr °-� - Sewers Service Upgrades A/C Fences (ploVSurvey/Footage) <br /> " �ys-Nnt over Counter it on public roadways..needs ROW <br />