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E 789-0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 • <br /> (,� <br /> Building Department Awl <br /> 1 <br /> s Received <br /> b <br /> Phone Contact for Permitting <br /> aimmwumwull <br /> er's Name al - Ku r\ Ro ii‘.. Owner Phone Number :j1,A,) 7gt • 2759 <br /> wner's Address 7304 6aM 6 _M 131 _. r Zeon rti. \ls Owner Phone Number <br /> ae Simple Titleholder Name Kt to Owner Phone Number <br /> e Simple Titleholder Address <br /> DB ADDRESS IT Sit - 377 VI 1'A L_ iud1 6. Cc-t't . 041•yr k. 1,l5 LOT # <br /> UBDIVISION PARCEL ID# I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> JORK PROPOSED ( I NEW CONSTR F ADD /ALT n SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> , ROPOSED USE I I SFR 1 1 COMM [ OTHER 1 A� -a..oc t i <br /> °YPE OF CONSTRUCTION I I BLOCK I I FRAME n STEEL r n OTHER I I <br /> )ESCRIPTION OF WORK & ■■- ■c1't g , Jv' I AIM. - 50--4_ 4 . . )jk...A <br /> BUILDING SIZE SQ FOOTAGE '7 9 D b HEIGHT <br /> v'r BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> j e, 4 1 - 21;. 91 <br /> 1 ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY . I I W.R.E.C. <br /> 1 PLUMBING $ , , � <br /> � <br /> r (( t <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION „ <br /> 1 GAS 1" -- - ." ROOFING 1 1 SPECIALTY n OTHER O/ <br /> 1NISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IVES 1 (NO <br /> BUILDER /1 — COMPANY L 111%1 bac . ! . _ . <br /> �!�%� SIGNATURE REGISTERED wpm FEE CURB T fa N <br /> Address 15q/1 Ug s) 'Dade l_.t h f J 333 3 3 License # LW._ 3Z, 9, ) Z <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I. FEE CURRENT I Y / N I <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N 1 , FEE CURRENT Y / Nn <br /> Address License # I <br /> MECHANICAL COMPANY <br /> 3NATURE REGISTERED 1 Y/ N I FEE CURRENT I Y / N 1 <br /> Address License # <br /> OTHER 1 COMPANY <br /> - iGNATURE I REGISTERED I Y / N I 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 /> ,., „4 nylYIIIIItW <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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways.. needs ROW <br />