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, s��-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • � Building Department <br /> Date Recelved .- 2'-- Phone Contact for Permittln �� J y 7V .- � 3(D.� <br /> Owner'a Name � F N N ql'� � 0 N� EJ Owner Phone Number �il 7� 7/%"�/ � � <br /> Owner'a Address �s��o L� 6�1T�,vg vE .�i C �i.EARM,a4 �L er Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number �— <br /> Fee Slmple Tltleholder Addreas <br /> JOB ADDRESS 7 � L'�RG/A/.O �F� . Z FPy ���t(�S , FG 335�� LOT # � <br /> SUBDIVISION E���n�� �,¢k /7�l'R' PARCEL ID# 0� '� �Q - a �� ���Q - �UQQ)� � p� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADDlALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK O FRAME � STEEL Q <br /> DESCRIPTION OF WORK NFhI CONST/Q T/DI� '� V/L�/�IS <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT SGL s��t <br /> �BUILDING $� n� •OO VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> QELECTRICAL $ 2CJ2O , OO AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � rr ' OO � � ,�� �� <br /> J7 <br /> �MECHANICAL $ 2 Q � O VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS nI 5o FLOOD ZONE AREA �YES NO <br /> �� <br /> BUIIDER COMPANY LENNA� J� O/Vf�S <br /> SIGNATURE REGISTEREO Y/ N FEE CURREN Y/ N <br /> Address /SSSD L�� .�✓E �t. �sie uf�N F� 3.r��o � # C6G /S/ 8/G 6 <br /> ELECTRICIAN COMPANY L��ONSoN EL-EC7iC/C SNC • <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address /o3y SK///�E/C /QO. �AM A�C �3i/ License # ECO40.?,S'�f9 <br /> PLUMBER COMPANY �J M W PL d/✓J�.7 ��� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address `327 I� 0 /✓ E L•�3 S7B license # CFG O,Z / SO O <br /> MECHANICAL COMPANY 13AyonrET Jc ✓Mb�NG /�EA�/nIL ��/¢ C <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address P • S�X 'S30 S� ONFT �o/NT FL �9'G License # �C �,S 8 � 6 2 <br /> OTHER COMPANY C STERL�NL �(/Q � �OaF/IU(.� ,jN�. <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address N1// .9/JpA UNE 8LV0 S R�/f/` f�/G1 `07 l.icense # �C� C OS'I 9 g�� <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Pertnit for new construction, <br /> Minlmum ten (10) working days after submittal date. Required onsite. Construction Plans, Stormwater Plans wi Sitt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (31 complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fortns R-O-W Permit for new consirucdon. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w,' Silt Fence instatled, <br /> Sanitary Facilities 8 1 dumpster Site Work Pertnit for all new proJects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Dlrectlons: • <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement Is required. (A/C upgrades over $7500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notanzed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> DrNeways-Not over Counter if on public roadways..�eeds ROW <br />