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( �� <br /> s��-�so-oo2o City of Zephyrhills Permit Appiication �lZ� Fax-813-780-0021 <br /> . Building Department <br /> Date Recelved Phone Contact 4or Permittin $� 3 "7' � tv — Q✓�� <br /> Owner's Name �. �NN�71♦ ��/ES Owner Phone Number l/�/ �� �' /��� <br /> 7�� 3?7ias � ` I <br /> Owner's Address �SS$O �`�rWiA ✓F K(. �2/ CLEI�N/Al2�R �- Owner Phone Numbor <br /> :� •:. <br /> Fee Simple Titleholder Name Owner Phone Number <br /> a=, <br /> Fee Simple Titleholder Addreas <br /> JOB ADDRESS 37�L'�P-� d zEpyyR,�� rL 33 J�7 d LOT # �� <br /> SUBDIVISION ��LpNO PRIe/� PARCEL ID# �3 r�r0 "� Z I� ���J D OQ �' (� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR � ADD/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME Q STEEL � <br /> DESCRIPTION OF WORK /Yf W CONcSTR(/CT/Q/v '� TD Lt//✓�OM�S <br /> BUILDING SIZE � SQ FOOTAGE � HEIGHT .? �o� 5/ <br /> �BUILDING ���� GSO VALUATION OF TOTAL COtJSTRUCTION <br /> OELECTRICAL $ 3 y � o AMP SERVICE � PROGf2ESS ENERGY Q W C. <br /> � � <br /> �PLUMBING $ � � <br /> �MECHANICAL $ y ��, s VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> —1--�'—�'-;-• <br /> BUILDER Cp�ppqNy �E�N�j/� Q/y6S <br /> SIGNATURE REGISTERED Y/ N FEE Ct� Y/ M <br /> Address �SSS� 4L �� CLE+9RN.4'rF/(� FL,? 7�0 License # CCT C�sf B�� rp <br /> ELECTRICIAN COMPANY OMon/.SOi1/ �GE�T,I�/C. .�Z'i�{/G • <br /> SIGNATURE REGISTERED Y/ N FEE(�N Y/N <br /> Address /03 y.S�ClP %A , fL 33G1 ticense # �� A00 ZS'I 9 <br /> PLUnn?FR COMPANY BM MV P���/�//V lf' <br /> SIGNATURE REGISTERED Y/ N FEE CIJ�iEA Y! N <br /> A��.A�s `3�� N �,Ew -� .� r �,ce� # C F� D a/50 (} � <br /> MErt�^��ICAL � COMPANY �AL/?A/FT �vM�6lN�i llC9'TiAl6� � �^!�- <br /> SIG r '� � r'` E REGISTERED Y/ N FEE CUf7l2Ek Y/ N <br /> Ac+�!ress � �.801�1 0/J d L.3�{/�7�/ Licer�se# c.AC�.sg��0 �`:�� " <br /> OTN�? COMPANY � f�le��11/fr yt/ALii /QpiGi�'ilC� ,�/�+• <br /> SI G "� � F REGISTERED Y/ N FEE CURREk Y/ N <br /> ��� �SS yz1l.SyoA� �.�NF Bc.vQ SPR�Ni ffic� Fc. 3�Yi � ucense # CC— �' OS 9g/ <br /> iti�i��ii����������i��������iii����i���ii��it�i��iii���t���E��i���i <br /> RF"�' �'�^L AttaCh (2) Piot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new cortstruction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stortrrwater Ptans w/ Silt Feix� instapecl, <br /> Sanitary Facilities 8 1 dumpster; Site Work Pertnit for subdivisions/large projects <br /> COn^ ^^ ���� n L attach (3) complete sets of Buiiding Plans plus a L'rfe Safety Page; (1) set of Energy Forms. R-O-W Pertni[ for new cor�stru�on. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stortnnater Plans w! S� Fence instaRed, <br /> Sanitary Facilities 8 1 dumpster. Site Work Pertnit for a{I new projects. All commeraal requiremerAs must meet compiance <br /> SI�"' " ^^!T Attach {2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> �,y,. ...... ..... .... ..... ... .. ... . . <br /> Dire <br /> F nolication completely <br /> � Cor�ractor sign back of application, notarized <br /> ' � 5�^, a Notice of Commencement is require�. (A/C upgrades over 57500) <br /> '" � r the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner auttwrizirg same <br /> OVE^ OU�I'ER PERMiTTING (Front of Appiication Only) <br /> Rerr � �, ��i�=. Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) , <br /> " �ys-N�t over Counter'rf on public roadways..needs ROW <br />