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813-780-Q020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Buiiding Department <br /> Date Recelved _ 2� j Phone Contact Tor Permtttin $�.3 y 7G ._ 0 3 63 <br /> Owner's Name �� N k/ l�/Q IY ONJ F� Owner Phone Number �� 7 �'�" ��0� <br /> Owner's Address / J��O �.J p/I�TGt/Ij(/E �2/O ??9L0 <br /> ' G�EA�tNA4 �C Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 0��oR���� �E11 • Z E.�y �Cf,!/l.L�S , fL 335�2 LOT # �� <br /> SUBDIVISION E � ��Nr� �,¢k �7�7F!"JI PARCEL ID# 0� "!� �p 'eZ ( — Q25Q — �(��)— Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM O OTHER <br /> TYPE OF CONSTRUCTION � BLOCK a FRAME � STEEL � <br /> DESCRIPTION OF WORK NFhI �D/VSTR T/D/�I " VIGL/�IS <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT SGL sf��t <br /> OBUILDING S��� �O VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ 2Cj2O, OO AMPSERVICE � PROGRESSENERGY � W.R.E.C. <br /> OPLUMBING $ � �c OO � I 2 , /(� � <br /> 7 � 'T ( <br /> OMECHANICAL $ 232 Q �� O VALUATION OF MECHANICAL INSTALLATION <br /> QGAS O ROOFING Q SPECIAITY Q OTHER <br /> FINISHED FLOOR ELEVATIONS ,�� FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY LENiVA� � 4MES <br /> SIGNATURE REGISTEREO Y/ N F� CUt�tEN Y! N <br /> Address /S"SSD L�� fivA✓E � . �?ie c.�,�,e�, Ft sr�lo License # C6G /Sl8/G 6 <br /> EIECTRICIAN COMPANY G ��' 1oN�SoN EGECT7CJG SNC • <br /> SIGNATURE REGISTERED Y/ N FEE ClA7REN Y/ N <br /> f►ddreaa /o3�i/ SKi/�EK O. % �0 rL 33L/ �icense # ECO p 0�,$'�f 9 <br /> PLUMBER I COMPANY � M I11I PG f�/✓1/.��/VG <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y! N <br /> Address 27 N y E L J35�8 Licensetl C�C O,Z/SQQ <br /> MECHANICAL COMPANY BAyo�vET J�c ✓�IN6� �Fqt7�Vt � � /¢G <br /> SIGNATURE REGISTERED Y/ N FEE CuartEN Y/ N <br /> Address • 4• 8o)c ,S $�q avFT )b��vT �L ��'6 License # C9C OS $ � 6 2� <br /> OTHER COMPANY C s�Rl�A/L ��//¢ / /�Oq�C/it/G� ,��VL'• <br /> SIGNATURE REGISTERED Y/ N FEE CuRREn Y! N <br /> Address SI2// .9�f/pA UNE 8LU0 s R/N� /�/[1 `D 7 License # �� t„ - C o S � q g/ <br /> Illllllliilllllllllllllll llillllllliltllililillllliillilllllilillif <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Pians; (1) set of Energy Forms; R-O-W Pertnit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite. Construction Plans, Stortnwater Plans w! SSi�tt Fence irutatied, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projecfs <br /> COMMERCIAL Attach (3) complete sets of Buliding Plans pius a Life Sa!aty Page; (1) set of Energy Forms. R-O-W Permit fw new constn�on <br /> Minimum ten (10) working days after submittal date. Required onsite, Consiruction Plans, Stortnwaier Plans w/ Sitt Fence installed, <br /> Sanitary Facilities & 1 dumpster Site Wortc Pertnit for all new proJects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets ot Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directlons: <br /> Fill out application completely <br /> Owner & Contractor sign back of application, notarized <br /> Ii over S2S00, a Notice oi Comme�cement Is requlred. (A/C upgrades over 57500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized tetter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicado� Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> DrNeways-Not over Counter if on public roadways..needs ROW <br />