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a��-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittir - a� 3 y 7 v .- ��� <br /> Owner's Name �� w��� � O N� EJ Owner Phone Number �il 7 �' %'�/ �� <br /> 7 <br /> D <br /> Owner's Address ����� � 6 �TWgVE � G�� �� �ner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tkleholder Address <br /> JOB ADDRESS G EORG/N+¢ �E/1. Z E�H �Cff�tL�S , FG 335�2 LOT # [�� <br /> SUBDNISION ` / `�N� //�Rl�' � PARCEL IDit D� — /� tP '�°l �"� 0250 ' QU��� / �� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN � Q DEMOIISH <br /> � INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK NFw �ONS'rR T/ON '� V/LL/�JS <br /> BUILOING SIZE SQ FOOTAGE � HEIGHT SGL S�� <br /> �BUILDING $� n� 'OO VAL�JATION OF TOTAL CONSTRUCTION <br /> � <br /> �ELECTRICAL $ 2C,2O � OO AMP SERVICE � PROGRESS ENERGY Q W R.E.C. <br /> QPLUMBING $ n rC ' DO ' � � � � <br /> ..,J7 <br /> �MECHANiCAL $ 2�2� ��� VALUATION OF MECHANICAL INSTALLATION � <br /> �GAS � ROOFING Q SPECIAITY � OTHER <br /> FINISHED FLOOR ELEVATIONS �� ��� FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY LE,�NA� � ��� <br /> SIGNATURE ttEGwSTERED Y! N �E C1�EN Y/ W <br /> Address I SSSD L��Nfw•!✓E �t �?�e c��v Ft s�� �;�� # C6G /S/ $/ 6 6 <br /> EI.ECTRICIA�1 I COMPANY ���ONSoN ELEC��C 1NC• <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address /03�/ SKi/�E/C /Qo �/9M A�� 33f/ l.icense tt EC400,�,s'�f9 � <br /> PLUMBER COMPANY �� W PL v ��� NG <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address �327 N E L S3 S78 License # CF� D Z/ S� 0 I <br /> MECHANICAL COMPANY BAYoNET �c ✓M6�Nb� �EI�Tl�t/L� � /¢� <br /> 31GNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address � �• 80X S30 ONFT �OJNT LL ��'G License #� �C �S 8 D 6 2 <br /> OTHER COMPANY C J�R1�N� �(/R / �O��N�/ I�1K• <br /> SIGNATURE REGISTERED Y/ N FEE Cu�tEn Y! N <br /> Aaare� dZll .S o� U�rE B�va S a�a� yi ct `D 7 ���„se # � C- C o S � / <br /> IIIIIIIIIi111111111111111111111111111111t1 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) aets of Building Plans: (1) set of Energy Forms; R-O-W Permft for new construct+on, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Pians, Stormwater Plar�s wJ Sift Fence instalied, <br /> Sanitary FaciliGes & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Lffe Safety Page; ( i j sef of c�ergy Forms. R-O-W Permit for new consiniction. <br /> Minimum ten (10) working days after submittal dafe. Required onsite, Construction Pians, Stom+water Pians w/ S+It Fence insiai4ed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directlons: <br /> Fill out applicaGon completely. <br /> Owner & Contractor cign back ot application, notarized <br /> If over 52500, a Notice ot Commencement is required. (A/C upgredes over 57500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter irom owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences (PIoVSurvey/Footage) <br /> DrNeways-Not over Counter if on public roadways..needs ROW <br />