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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building �epartment <br /> Date I�eeelved 1- Z? � Phone Contact for Perm(ttin i� ! 3 7 7V .- 03 (a.� <br /> Owner's Name �� N IW l�/'Q I�ON� EJ Owner Phone Number 7.Z 7 7,7 ��/ �� <br /> Owner's Address ��SSD �/ 6yTwgvE �i C c Eq �6 Phone Number <br /> Fee Simple Titlehoider Name Owner Phone Number � <br /> Fee Simple Tltleholder Addreas <br /> JOB ADDRESS � ,��. G L (E/1. Z E�H �Cfl��S , FL 335�Z LOT # <br /> SUBDIVISION ` � ��N� /fjRl�' �A' PARCEL ID# D.! ' � �Q — a I — O��O " �(��Y)^ � <br /> (OBTAINEO FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT O SIGN O Q DEMOLISH <br /> � INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BIOCK Q FRAME � STEEL � <br /> �ESCRIPTION OF WORK NFhI CONST/4 T/ON " VILLI�IS <br /> BUILDING SIZE �—� SQ FOOTAGE � HEtGHT SbL S��C <br /> OBUILDING $� n� , oo VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> OELECTRICAL $ 2C�2O � OO AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ ^ r� � OO � � ���� <br /> `� J <br /> �MECHANICAL $ 2� Q �� Q VALUATION OF MECHANICAL INSTAI.LATION <br /> �GAS � ROOFING Q SPECIAITY � OTHER <br /> FINISHED FLOOR ELEVATIONS �� ��� FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY LENNA� /� 4 <br /> SIGNATURE REGiS7ERED Y 1 N F�Ct�Et+ Y/ N <br /> Address /SSSD L�iHtiv�!✓E j,�t �?�e uf��v Ft 3��o License t� C6G /S/$/` ( <br /> ELECTRICIAN COMPANY ���'"1oNSoN ELECTICIG SNC • <br /> SICiNATURE REGISTERED Y! N FEE CIN�(tEN Y/ N <br /> �4ddress /03�1 Ski/�EK D. �/9M A FG �3L/ l.icense # EC000,�S79 <br /> PLUMBER COMPANY � � `1I PG v/�/J ��G <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y! N <br /> Address �327 N D 1/ E L 33 S7B License # CFC D�Z / SQ � <br /> MECHANICAL COMPANY I3A�/ONE? �t✓�`'r6�N �EAflNG � � /¢� <br /> 31GNATURE REGISTERED Y! N FEE CURREN Y/ N <br /> Address P �• 80x S ONFT �O/NT LL ��'6 License # �C �,s 8� 6 2- <br /> OTHER COMPANY C S7fRL/�/t �(//¢ / /�OO�e�/It/L� I�. <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y! N <br /> Address y1// .S�JDA UNE BL✓D s/!!Ni H/L( `D7 �icense # � C� C D.J '� � <br /> IIIIti <br /> RESIDENTIAL Attach (2) Plot Pians; (2) sets of Building Pians; (1) set of Energy Forms; R-O-W Pertnit for new construGion, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Sitt Fence i�staried. <br /> Sanitary Facilities 8 1 dumpster; Site Woiic Pertnit for subdivisions/large projects <br /> �CPlP.i��CiAL i,iiach �"sj compiete sets o` �uildinfl Plans plus a Life 5afety Page; (1) set of Energy Forms. R-O-W Penmit for new constnic6on. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction P1ans, Stormwater Plans w/ Silt Fence mstalled, <br /> Sanitary Facilities 8 1 dumpster. Site Work Pertnit for alI new proJects. All commercial requirements must meet compliar�ce <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 & Contractor sign back of application, notarized <br /> IT over S2500, a Notice of Commenesment Is requlred. (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 PERMITTtNG (Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences (PIoUSurveylFootage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />