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a��-�ao-oozo. City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received -� 7-� � Phone Cantact for Permittin �� 3 y 7G ._ 0 3 d.3 <br /> Owner's Name � F N IV /ql'Q K ONl FJ Owner Phone Number �.Z 7 7/%'� �/ D <br /> Owner'a Address <br /> /v ��� L.I 6�TWgVE � CtERrt�A4 �� er Phone Number <br /> Fee Simple Titleholder Name �- Owner Phone Number �- <br /> Fee Simple Titleholder Addreas <br /> JOB ADDRESS :3'I(�35 � coRci,�a ���. Z�PH �cf,li[G�S , FL 335�� LOT # /� � <br /> SUBDIVISION � � � pNn �Q�C �� PARCEL ID# �� ' � tP '�� �� ��50 ' �U��� ! � � � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BIOCK O FRAME � STEEL O <br /> DESCRIPTION OF WORK NFh� �ONST/Q T/Orv '- V/LL/�JS <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT SGL S��C <br /> �BUILDING $� n� ' OO VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> OELECTRICAL $ 2C,2O � OO AMP SERVICE � PROGRESS ENERGY O W R.E.C. <br /> QPLUMBING $ a 5S ' OO �� 2 <br /> 2 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� <br /> � 232a•�O <br /> QGAS O ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS �, � FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY LENNA� 1y oMEs <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Add�ess � Ss0 L/i A✓E A/. �?/0 G�FiJ�N FL 3.T��� License # C6�i �S� 8�` � <br /> ELECTRICIAN COMPANY G D�ONSoN E�-E� ��C .�NC • <br /> SICiNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address /o3S/ SKi/rE /QO. �/9M � FL �3G/ �icense # EC000�S79 <br /> PLUMBER COMPANY ✓ � `1I PL f//✓�I.��NG <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y i N <br /> Address `327 N D ✓ E L.�357 License # C�C O,Z / SD O <br /> MECHANICAL COMPANY I3Ay0NfT �✓/h6�N /yFArlNL � � I¢� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y! N <br /> Address P �• 8oX .'S �Aq eNFT 1b�lvT LG ��'G �icense # �CD$ $ 0 6 2� <br /> OTHER COMPANY C S71�iQL/NL ��/�j / /�Op�71UG� ,TNC• <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y! N <br /> Address y�/l .y/�0�4 L/NE LVD s R/N� f�/C1 frd � Lice�se #� 4" C � J` 7 � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal oate. Required onsite. Construction Pians, Stormwater Pians w/ Sitt Fence instailed, <br /> Sanitary Facilities & 1 dumpster; Sfte Work Pertnit for subdivisions/large projects <br /> COMMERCIAl. Attach (3) complets sets ot Building Plans pl�s a� ife Safety P2ge; !1) set of Energy Forms. R-O-W Permit for new co�sirucGon. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w! Siit Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects Atl commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> .. ... . <br /> Directlons: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application, notarized <br /> if over S2500, a Notice of Commencement is required. (A!C upgrades over 57500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized 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 /> Driveways-Not over Counter if on public roadways..needs ROW <br />