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"' �• 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Depa�ment <br /> Date Received �J2 / ? (� <br /> 5 �+'( Phone Contact far Permitting � ( � — O <br /> OwnersName 'OQ�O� IU,FD\CAL LL\JJIL. OwnerPhoneNumber 0�7�1$� ��,,� <br /> Owner's Address 1�0 �A OELtA ��fl �''�•�'�F� ��°3 Owner Phone Number <br /> Fee Simple Titleholder Name N L � V�L Owner Phone Number <br /> Fee Simple Titleholder Address ���o O QJ EN.I �1 nA1/k, o L,,,tITZ F L 3 3 S56 - S3 �b <br /> JOBADDRESS �/O� U� Rl.l� vLVD. Zi P�'"I ILH'1�1..5 FL S3s�{ �D�1, 6� g 1 � <br /> SUBDIVISION A PARCEL ID# Z"�'b��) 'Oo�b ^eZ.y O O —0� ` O <br /> (OBTAINED FROM PROPERN TAX NOTICE) <br /> WORKPROPOSED NEwcoN57R ADD/ALT 0 SIGN Q Q DEMOLISH <br /> B INSTALL REPAIR��J��,Q_ o ,�.r. <br /> PROPOSED USE Q SFR COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME � STEEL Q S <br /> DESCRIPTIONOFWORK INT�(�o� .��1+0"0-� �✓�Ht1� �1C16T• S�NbV� STo � BL9(� �,���,Dt�� <br /> BUILDING SIZE �N Ip�,E STa G- SQ FOOTAGE J gs� HEIGHT 1 �" <br /> QBUILDING $135� O b o VALUATION OF TO AL CONSTRU TION <br /> QELECTRICAL $ AMP SERVICE�OI'f0 � PROGRESS ENERGY Q W.R.E.C. ����j <br /> ►3 c ,�o p �_f� �J ��O r"� <br /> OPLUMBING $ O �o O� U�� <br /> QMECHANICAL $ 5 0�o� � VC UATION OF M CHANICAL INSTALLATION 1 � j� <br /> � X��'t"'• v ' �yh <br /> QGAS Q ROOFING� ` SPECIALTY I� OTHER � �� P �,,;�J, <br /> F I N I S H E D F L O O R E L E V A T I O N S F L O O D Z O N E A R E A Y E S N O f `"�,� <br /> ° � 3 L ��,���.�:�� <br /> I� � <br /> BUILDER COMPANI W��'�'AL� f�SSo�-��'C�FS L�- <br /> SIGNATURE REGISTERF�D Y/ FEE CURRE� Y �D,�^�� <br /> � ��.��.., <br /> Address 5y3 M•L•��N ST. N�oR-T{{ S"7'. �jE�Tt�33�OLicense# �'�OL ��,Sj3 G� �1F (�qp;J�� <br /> wVi�aX� <br /> �a . �S�v�.,1„��•C¢n^ <br /> rJ„ �� !V� ELECTRICIAN COMPAN ��' <br /> 1���r��� SIGNATURE � REGISTER D Y/ N FEE CURRE� Y/N <br /> YJ ���"� <br /> �. 1 �0.V�-��� Address , License# <br /> ]Q,t^O� ,� <br /> Q�yla� <br /> �I�J���o OO2 SIG ATURE � ROMP REo Y! N FEECURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY ��1 �I } I� <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> i <br /> Address �`I� S 7✓ ��i��� � i� vP� License# C C U d'7 <br /> OTHER COMPAIY <br /> SIGNATURE REGISTER D Y/ N FEE CURREA Y/N <br /> Address � License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sels of Building Plans;(1)set of En rgy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days afler submillal date. Require onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Permit for subdiv�sions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety�age;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpstec Sile Work Permit for aIl nev�projects.All commercial requirements musl meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construclion. <br /> Directions:• <br /> Fill out application completely <br /> Ovmer 8 Conlractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for lhe conlractor)or Power of Attorney(for lhe owner)would be sor�eone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIITING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plo Survey/Footage) <br /> Driveways-Nol over Counter if on public roadways..needs ROW <br />