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$13 -7M -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 it itdi <br /> Building Department <br /> ate Received ©_, i1 - 0 Phone Contact for Permitting <br /> ier's Name net- u^ PrOrex rites Owner Phone Number 817) 79'$ - Zlj'5 <br /> Iwner's Address 7304 Lam 31J4. i 7101 ch M.S Owner Phone Number <br /> ee Simple Titleholder Name 1 1A Owner Phone Number <br /> ee Simple Titleholder Address ` <br /> OB ADDRESS 377 t - RI"1(., Da1L 1�u.in !'Llt r1Yl..fc h. lV LOT # <br /> IUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> YORK PROPOSED NEW CONSTR [ ADD /ALT n SIGN 1 MOVE 1 1 DEMOLISH <br /> INSTALL r REPAIR <br /> 'ROPOSED USE n SFR I I COMM [ OTHER 1 AL- 1 <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME n STEEL n OTHER I <br /> )ESCRIPTION OF WORK All tr.c le., gt- 1Z.J■) I S - I A0w.1t -o 30 - y +f. r v tv ) 1S1°•A <br /> BUILDING SIZE SQ FOOTAGE '75 0 b HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> —I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 1 I W.R.E.C. <br /> ' <br /> 1 PLUMBING $ f <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (U <br /> —I GAS IK ROOFING I I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES 1 IN0 / p 0 /" <br /> BUILDER pt COMPANY rn;t . SIGNATURE Lid REGISTERED KUM FEE CURR T la N <br /> xy2 Address 151I U SO Dade C 1 h , P1 33sa3 License # Lam- i32,')0Z , <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> 3NATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE I REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br /> COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br /> All commercial requirements must meet compliance. <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> * ** *PROPERTY SURVEY required for all NEW construction. <br /> rections: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A /C upgrades over $5000) <br /> ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />