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s^s-;ao-oo,o Ciry of Zephyrhills Permit Application F�--a'=-'3''-0',' <br /> �ilding G�eparhnent <br /> Date Recelved ' -- � one Contaetfor Rerm � �J 1 �� '�� � <br /> � � � � � � � � I 1 <br /> Ownr's Name Diana Echeverri — Owner Phone Number 813-479-7143 <br /> Owner's Address PO BOX 879 ZH 33�39 owner Phona Number �� <br /> Fee Sfmple Titlehdtler Name � � Owner Phone Number �� <br /> Fee Simple Titlehdder Address � <br /> �os�E,ss 38434 7th Av Ze h rhilis FL 33�4< LOT k � <br /> SUBDIVISION � PARCO.IDJt 11-i6-21-0010-1400Q-Q090 � <br /> (OBTAINED FROM PROPERIY TAl(NOTICE) <br /> WORKPROPOSED e NEWCONSTRe ALD.'ALT C� SGN Q Q DEMJUSH <br /> INSTALL P.EPaIP. <br /> PROPOSED USE � SFR Q CO�flh4 C� OTHER --� <br /> TYPE OF CONSTFtUCT10N � 6LOCh Q FRMAE � SfEEI Q �--� <br /> oescw�noNOFwo�c Replace 8 same size windows and 1 door � <br /> BUILDING SIZE �—� SQ FOOTAGE�� ��G� � <br /> Q6UILDII'J $ �� 1�ALUaTIGN OF TOT�L CONSTF.UCTIGN $3853 <br /> QELECTP.ICHL �� AMP SEP�/ICE 0 PROGRESG ENERGY �� u�t P E C. <br /> �PLUMBIN.r, $ /�(j�j � <br /> /" �/ �'j <br /> QPAECHAP,IICA� $ ✓A�UATIOP!OF�4ECH�FIICHL If15TALLATi^Pd � I ��� <br /> O�qS Q ROOFIPIG Q SPECIALTY � OTHEP <br /> FIPdISHEQ FLOOR ELE�fATIOI�IS FLOOD ZOfJE AREx �ti ES PJ�� <br /> :�•S��' <br /> BUILDER cEG(,( � OMPANY Weather Tite Windows —� <br /> SIGNA7URE RECisrEaFO t'r N FEE cuRRFn r �fl <br /> Address 2119 W Columbus DrTampa, FL 33607 ���e�se� CGC#151�541 <br /> ELECI'RICIAN � COMPANY �' � <br /> SIGNATURE FECisTEREO r'i �J FFE cuF�Er. � �N T— <br /> Atldress L�cense#�—� <br /> PLUMBER � COMPAM' � <br /> SIGNATURE RECiISTEREO 7 I N FEE C!�RFEF. r rf�) <br /> Address �cense3!�� <br /> MECHAMCAL � � COMPANY � � <br /> SIGNATlq2E � RCGIBIFPED Y( I`J ffc!"UFREP. Y/fd ) <br /> Address License#�� <br /> OTHER � � COMPANY � <br /> SIGNATURE � RECisTERw Y i I�J FFE cuRREn � �Rl �� <br /> Address License#�� <br /> 1 1 1 1 1 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 i 1 1 1 1 1 1 1 1 1 1 I 1 f 1 1 1 1 N 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach('-j Plot Plans,(^)sets of Bwlding Glans,(1)set of Energy Forms,P,-C-W Pertnit for new construction <br /> Minimum ten{101 working days aftersubmittal date Required onsite,�nshuction Plans,Storm��aterPlans�;«Sdt Fence installed. <br /> Sanitary Facd�ties&1 dumpster,Sde Nlork Permit for subdivisions�large pro�ects <br /> COMMERCIAI Attach(3)complete sets of&rdding Plans plus a Life Safety Page,(t)set of Energ�r Forms R-G-�a Permit for ne�n c�nstrucbon <br /> Minimum ten f10i working days aftersubmittal date Reqwred onsite Construction Plans,StormwaterPlans v.�r Si�t Fence installed, <br /> Sanitary Faalities&1 durnpster Sde Work Permit for all new pro�ects All commerciai reqwrements must meet compliance <br /> SIGN PERMIT Httach(Zt sets of Engineered Plans <br /> """PROPERTY SURVE� reqwred for ail NEvV construction <br /> Directions:• <br /> Fiil out apphca[ion completely <br /> Ommer&Contractor sign ack of applwatien,notarized, � � r��, <br /> If over 52600,a M QommeneemadF ts rel� "(IIC upgrades over ii�i00) - ' ' -3°��r'�?"� - <br /> �� .. <br /> ^ Agent jfor the contractorl or Power of Attorney(for the rnvnerl would be someone�nrth notanzed letter from o+Nner authoriz�ng szF+ie <br /> OVERTFIE COUNrER PERMITTING (Front of Hpplicatwn Only) <br /> Reroofs if shingles Sewers Service Upgrades A1C Fences!PIOUSurvey�Footage) <br /> Drivevuays-Nd ooer Counter if on pubhc roadways.needs ROVY <br />