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' � ---"",� <br /> --�✓ T � <br /> s�s-�so-oozo City of Zephyrhills Permit Application �����3 Fax-813-780-0021 <br /> Building Department <br /> Date RecA(ved �' -� Z��..1 S l 3 y 7G ._ 0 3 63 <br /> Phone Contact for Permittin <br /> Owner's Name �. � IV N A!'Q � O N� F� Owner Phone Number �il 7� 7�9" ���� <br /> Owner's Address �5��0 �/ 6l�TGd �/E �Z!O 337io � <br /> g CtERrtp,a4 �L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �— <br /> Fee Simple Titleholder Addreaa <br /> JOB ADDRESS .��� / � L /E/1.. Z E�/y�/�Ci�/��' / FL 3 3S'�7 L � LOT # [� <br /> SUBDIVISION G � L �N� /Ir�IQ/r(, ► �q. PARCEL ID# 0� ' !Z � - oZ �— Qz50 - �(��)^ � � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONS7R 4DD/ALT � SIGN Q � DEMOLISH <br /> � INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BIOCK a FRAME � STEEI O <br /> DESCRIPTION OF WORK /VFhI CD/VS'TR T/D� " V/LLI�IS <br /> BUILDING SIZE � SQ FOOTAGE �� HEIGHT SbL SfO�C <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> a 7�00 � o0 <br /> QELECTRICAL $ 2Cj2O � OO AMP SERVICE � PROGRESS ENERGY O W,R.E.C. <br /> QPLUMBING $ � �� ' oO <br /> �MECHANICAL $ 2 ,� 20 � VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING � ,�PECIALTY O OTHER <br /> FINISHED FLOOR ELEVATIONS �j� �� FLOOD ZONE AREA QYES NO <br /> � �� <br /> s <br /> BUILDER COMPANY LENNA�- /� O/Vf�S <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address / SSSD Lisy �✓E At. �sie uf.�¢�, F� 3��o License # C6G /S/ 8/G 6 <br /> ELECTRICIAN COMPANY L DMONSoN EL-ECT7C/C .�iVC • <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address /03y.sl�I/P /QO. �/9M A jG,3�!/ license# EG000,�s'79 <br /> PLUMBER COMPANY �� L1I PG 1�/✓�i.� �/vG <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address `3�7 N /y E L 935�8 License �t CFC 0,Z / SQ � � <br /> MECHANICAI. COMPANY 13AyoNET �C ✓M6►NG� KF�Ir7NL � � /¢C <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address ' �• 80x .'S py ONFT �o/NT L�L ��'6 License t� �C �,S 8 � lv Z- <br /> OTHER COMPANY C S U� / � rNC� <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y! N <br /> Address S/1// .pjf/p14 UNf 8LV0 S' R/N6 /y/l.� G `07 License # � l, �� � J`'J � <br /> Il l i lllllilllllllllllllilillllllllllltltllllllllllliillllllllllllll <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 date. Required onsite, Construction Pians, Stormwater Plans w! Sitt Fence installed. <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Fage; (1) set of Energy �orms. R-O-W ?ermit for new consiruction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ S+It Fence insialled, <br /> Sanitary Facilities & 1 dumpsier. Site Work Permit 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 /> Directions: • <br /> Fill out application completely <br /> Owner & Contractor sign back of application, notarized <br /> If over 52500, a Notice of Comme�cement 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 shfngles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter ff on public roadways..needs ROW <br />