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- v 2 5. <br /> , a��-�so-oo2o City of Zephyrhills Permit Application �� Fax- 13-780-0021 <br /> - Building Departrnent i <br /> Date Received Phone Contact for Permittin $� 3 7/ i0 — ���03 <br /> Owner's Name � FNNA„ ��ES Owner Phone Number l7� / y 9^,O�QQ <br /> /Ssso L� `�rw.s►vF lYt • �?/o .0 � �� k. �---�� <br /> Owner'a Address �Ni9!!�/1, Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number ��' <br /> .,; . <br /> Fee Simple Titleholder Addreas <br /> JOB ADDRESS 3��.P�.� �, � ZEpHyRN'iLtS , GL 33 :5�lU LOT # � v <br /> SUBDIVISION L IL/9NQ /aR/Q/�. pqRCEL ID# �� '��O 'Zl � Q� 3 �� QQQ — �D� <br /> (OBTAINED FROM PROPERTY TAX NOTiCE) <br /> WORK PROPOSED � WSTALLSTR e REPAIR � SIGN � Q DEMOLISH <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUC710N � BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK �I/Fw Co�vsr�Pvc r�v�/ ' TD l.�JN�OMl�S <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT i� STO� y <br /> QBUILDING $��, G5o VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> QELECTRICAL $ � u,lO AMP SERVICE � PROGRESS EN£RGY � W. . C. <br /> 7'T • <br /> ;; <br /> �PLUMBING $ � <br /> �MECHANICAL $ y �,�, s VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �l'�S NO <br /> - � - + - ► - ; - 1 --� - a — <br /> BUILDER COMPANY ��NN �M�S <br /> SIGNATURE REGISTERED Y/ N FEE Ct� y/{,� <br /> Address �SS5 �/L ✓f OR �.�/D �LEq/PN.9TE/�� FL.� 7�0 LiC@ns8 # G. � C�s 8�`p f0 <br /> ELECTRICIAN COMPANY OMoN.son/ �LE�'T/�/G .,Z�i�G' <br /> SIGNATURE REGiSTERED Y/ N FEECXIF�N Y/N <br /> Address io3y .SK�� oy�p %A y, F� �3(�/ ��� # FC A40 �S!� <br /> PLUn"°cR COMPANY 8M KI Pl.VNJB/1V l!' <br /> SIGNATURE REGISTERED Y/ N FEE CtI�tEN Y/ N <br /> Qf��roc5 V '�2� y , '/��. � � 3 � LICB(15B # e Fc O .2 �So �► <br /> MEC��^"'ICAL COMPANY �AyO,V�T f� vM�B1N� �1E+9TiM¢� � �C� <br /> SIG� '��1'E REGISTERED Y/ N FEE CURREk Y/ N a, <br /> Ac±�ress / NFI� L•�{`?� License# C�QC.�s ' <br /> 8 � (0 2��� � <br /> � <br /> oTN�� COMPANY C .s'�R���v� t�,�L, � ,Qo�„u� .�vr. <br /> SI G "� � F REGISTERED Y/ N FEE CURREh Y/ N <br /> �"� yztl.SyoA1t�NE8�va SpR�Nb/licc FC34�i ? ucense# CC � <br /> � <br /> RE °�,_ �- ��^ L Attach (2) Plot Plans; (2) sets of Buiiding Plans; (1 j set af Energy Forms; R-O-W Permit for new oonsfruction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stortrtwacer p1a�s „d S�t Fence's�iaied, <br /> Sanitary Facilities 8� 1 dumpster; Site Work Pertnit for subdivisions/large projects <br /> COh"""`' ^r'' � L Attach (3) complete sets of Building Plans plus a L'rfe Safety Page; (1) set of Energy Forms. R-O-W Pertnit for new construcbon, <br /> Minimum ten (10) working days after subrttittal date. Required onsite, Construction Plans, S6orrtwrater Pfans w/ Sit Fenoe ir�ed. <br /> Sanitary FaciliHes & 1 dumpater Site Work Pertnit for all new projects. All commercial requirsme�►ts must rneet o�npi�Ce <br /> St�"' ^ ^^!T Attach (2) sets of Engineered Plans. • <br /> '*"PROPERTY SURVEY required for all NEW construction. <br /> �1 .. , � ,.a_ <br /> Dire <br /> F nplic�tion completely <br /> � �o��rector sign back of application, notarized <br /> ' ? 5�^, a Notice of Commencement is required. (A!C upgredes over 57500) <br /> "' / �r the contractor) or Power of Attomey (for the owner) would ba someone with notarized fetter from owner autt�oria�g same <br /> OVE" OUN'ER PERMITTING (Front of Application Only) <br /> Rerr � �� ��i�� Sewers Service Upgrades A/C Fences (PlovSurvey/Footage) <br /> ' �ys-Nnt over Counter'rf on public roadways..needs ROW <br />