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s��-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Bui�ainy oepartr►�er�t <br /> �R�� — '� Phone Contact for Pertniltln 7 Z� 'TS� — p S 7 T <br /> TT TrT <br /> Owners Name � ,�„71.i n �e, NC U Zr�, Owner Phone Number � �� — �g s' 7� 4� <br /> Owner'a Address ����1 � v� L � �� �G� � F�" Owner Phone Number <br /> Fee Simple Tltleholder Name Owner Phone Number <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS ro9 t{.3 ��.11 13t v�l. 2c,�t�.�j►� � S FL 335�Z <br /> LOT i <br /> SUBDIVISION PARCEL ID* <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEDUSE Q SFR Q COMM Q OTHER ��, Gr�v1- rc � � <br /> TYPE OF CONSTRUC'110N Q BLOCK Q FRAME � STEEL Q <br /> 10 Gun.S ►'�' ZVV��XYdO►vt j ' �irrt i rJV • ,Y r � c� 6� <br /> DESCRIP710N OF WORK 1� V ir�l� t�r i R A 1 <br /> BUILDING SIZE SQ FOOTAGE �/`td v HEIGHT <br /> I�BUILDING S 2G5/�OC� ALUATION OF TOTAL CONSTRUCTION � f��7j <br /> 1 <br /> �ELECTRICAL $ Zr��U AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> 7 (,�[ ! <br /> �PLUMBING $ 3 OOU " / � �,Q�(� S�� <br /> 1 � �Q Iv'— <br /> �MECHANICAL $ Z�gOU VALUATION OF MECHANICAL INSTALLATION �/�,I`"v � <br /> 1 p�l.P' � <br /> ��a,s 0 RooFiN� 0 sPEcia�rr � OTHER �` V � <br /> S�- <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES N � / �� � • , �2�,��b <br /> t,+ � <br /> , �.}c1� Uc►ti.. �Ov�S V1. i o'v.. i►-�-C, r � !" <br /> BUILDER L � COMPANY �~ <br /> SIGNATURE REGISTERED Y N FEE CURRE� Y N <br /> Address 13b�F M�r.crn.7Y_S. 5�. �c�<i�. h�, 3376`r License# Cf�G 125�i'i 3'i� <br /> r <br /> ELECTRICIAN 1 ,C .. � COMPANY �'�'� EI eci r�G T� , ` <br /> SIGNATURE F � REGISTERED Y N FEE CURREh Y/N <br /> Address y'�7�� V�l ,�rr.Lor�• rqV�, (�'� l� �l. 280g License# EC ObGZ�g 7 <br /> PLUMBER � ��`-�----'' � COMPANY C-ieG3Y � LoU+s Rprr+q � _ �!�I� <br /> SIGNATURE REGISTERED Y N FEE CURRE� Y/N ��� <br /> /►ddreas ¢J s'�?j �k'L `J �S �tt(�rrl�,�clo F�. 3 28 i 7 �� �icense� C FC f(�..2.S�3 S� <br /> �ti <br /> MECHANICAL ' -t ;a � COMPANY ~ �c., i� 1[ i r i ;c�, � <br /> SIGNATURE ��� - REGISTERED Y N FEE CURRE� Y/N <br /> address P.0,3DX 7Za1 Occ,lc� r"L 344.�& �icense# �ttG 18i ti-alg7 <br /> onieR � coMPa�nr <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> �d� License# � <br /> IIIIIIIIIIIIIIIIIIt111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy FoRns;R-O-W Permit for new construction, <br /> Minimun ten(10)worldng days after submittal date. Required onsite,Constnx�ion Plans,Stontnirater Plans w/Sitt Fence installed, <br /> Sanitary Facilities S 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Eneigy Forms.R-O-W Pertnit for new constnKtion. <br /> Mirrimwn ten(10)working days aRer submittal date. Required onsite,Constnx:tion Plaru,Stortnwater Plans w/Sik Fence installed, <br /> Sanitary Facilkies&1 dumpster.Site Work Permit for all new projeds.All commercial requiremerrts must meet compliance <br /> SICiN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construdion. <br /> Directions.. <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (A/C upgrades over 57500) <br /> " �qent(for the coMractor)or Power of Attomey(for the ow�er)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERINITTING (Front of Application Only) <br /> Reroofs if shingles Sew�ers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drive�ways-Not over Counter if on public roadways..needs ROW <br /> f <br />