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813-��� City of Zephyrhills Permit Application Fax-81�780-0021 <br /> Building Departmerrt <br /> Date Received � "�� �Z Phone Contact for Permitting ��7 a�� - a�a 6 <br /> OwneYs Name S j�ti� � � �fQ,, �(/ LA.� Owner Phone Number <br /> Owner's Address ��''.� �, ��d:el/��/�U�. L�7'�/�'� Yr� Owner Phone Number �- <br /> Fee Simple Titleholder Name � Owner Phone Number �- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � � � � �eP� y�fh�.5 LOT# �� <br /> SUBDIVISION �� �y� lfe i��S PARCEL ID# ,�^ —o� o� Gb30�-�oS00 -f) D o <br /> (08TAIN�FROM PROPERTY TAl(NOTIC� <br /> WORK PROPOSED e NEW CONSTR 8 ADQJALT �� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � <br /> �SCRIPn�oF wor�rc G'S e,v / ,ee VI'!0 (:L <br /> BUILDING SI� SQ FOOTAiGE ���7 HEIGHT <br /> �BUILDING 3 ���� VALUATION OF TOTAL CQNSTRIJCTION �( �J��O <br /> � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W R.E.C. <br /> QPLUMBING a �\�r) <br /> t ;�41, <br /> V �� ��,�Z�����— <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � /Y�• <br /> � � <br /> c�s �) ��'S� �,��a � �� n.. <br /> Q Q ROOFlNG Q SPECIALTY Q OTHER D �C:1/� ��tiw�' <br /> FINISHED FIOOR ELEVATIONS �/ f L � ���,�✓� P <br /> FLOODZOTlEAREA �YES NO�, 1.51 5�5�`"" _ IbU <br /> �L� �x <br /> B���R ��Gf/(�/ �"���, ��,�,r Co e�v�-�vr C�rnv�r;tPS ; � <br /> SIGNATURE R[�isrpzm / N FEECURREN Y/N <br /> Address l�j�� �-��' Nie,�y�,� �/ �L. 3 License# �d,� ����d 3� <br /> ELECTRICIAN � COMPANY �I/�'- ��C�t� t�r� L/ <br /> SIGNATURE RECtsr� N F�cuatte�t Y!N <br /> Address 7 "7 C o�t�r�sv�.O�r�e Sr./�al� License# l����y6�3 <br /> U� <br /> P�UMBER �/,�,,- / COMPANY CC���LO�1/1!/1T(�il/! 1 I�S�� <br /> SIGNATURE �"`"( !/v. w � � aEGlsifftm Y/ N FEE CURREN Y/N <br /> Address �D3.5x[ ' G4�� p . /V'/•��.�.��bJ T License# c�C��'a ��y9 <br /> MECHANICAL �.,� (�i\/�� �� COMPANY O� .Tl� A7� �fJd/�7 T BiVi�/ <br /> SIGNATURE tt[�isrEam Y/ N FEE CURREN Y/N <br /> Address "1�6� Yt�°u(iGV L /V;f��T" �`1�s License# (ci4c/�-/�a�6 <br /> onieR �; 1}'16 r�G'f/�.J�� , cawPa�n I <br /> SIGNATURE REGisTex� Y/ N FEE CURR@�1 Y/N <br /> Address ��.�t <br /> 1111111111 / IIIIIIIIIIIIIt111111111111111111111111I11111111I11111111 <br /> RESIOENTIAL Attach(2)Plot Plans;(2)sets of Biilding Plans;(1)set of Ener+gy Fortns;R-0-W Pertnit for new cor►struction, <br /> F�linimum ten(10)worldr�g days at�er submiltal date. Required onsibe,Cor�struction P1ans,Storrrrvrater Plans w/Sitt Fence installed, <br /> Sariitary FaciliGes&1 dumpster;SRe Work Permit for subdivisionsllarge P�1� <br /> COMMERCIAL Atiach(3}complete sets of&ilding Plans ph�s a Life Safety Page:(1)set of Erergy Forms.R-aW Pem�it tor new construction. <br /> Miner►um ten(10)worldrg days aRer submiltal date_ Required onsile,C.or�stnx:tion Plar�,Stom�weter Plans w/SiR Fence installed, <br /> Saroitary FaciNties&1 dirnpster.Site Vlfork Permit tor all new projeds.A!1 corrnnercial requiremeris rt�t meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERN SURVEY required for aN NEW constructiwi. <br /> D�recUons:• <br /> FdI ait appfication camaeteN <br /> Owner 8 Cortrador sign back of application.ratar¢ed <br /> If over S2�',�00,a Notioe of Commencert�nt is required. (A!C upgrades over 57500) <br /> '"' AgerY(for fhe conb�acto�or Power of Attomey(for the owner)waild be someone with notar¢ed letter from owner autl�or¢ing same <br /> OVER THE COUNTER PERMITTING (Front of Application ONy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadvrays..needs ROW <br />