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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buedig Department 10 1 b <br /> Dale Received a ,- / / r v <br /> 6, Phone Contect Permitting 14:71 1 - 1 t: o 1 <br /> ,1 Q <br /> Owner's Name NNC • FL 11S, U.C. Owner Phone Number p O 13.1W -93438 1 <br /> own er$ address <br /> l . Cost ate AZ. P a d s Z f331 C) l Owner Phone Number I O► "J • p3 1 8 l <br /> Fee Simple Titleholder Name 1�lat <br /> Owner Phone Number ( <br /> Fes Simple Titleholder Address l <br /> JOB ADDRESS r� 3T , s1� � , (),,in V , b f . Q:�. r/ (� LOT # 1 55 <br /> SUBDIVISION rrlt' y `c- bG S PARCELID#I2t! Zt • /�W) • ` ' �a,' (A� <br /> (OBTAMEO FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [- - sFR 1 1 COINA n OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK r7 FRAME Q STEEL , I ' OTHER <br /> DESCRIPTION OF WORK edoton (Yin L r oc k re pia t BUILDING BUILDG SIZE 1 IV . t SQ �FOOT T AGE 39 l p HEIGHT I <br /> C BUILDING IS NO " <br /> W . VALUATION OF TOTAL CONSTRUCTION aCACCI. via <br /> 7 ELECTRICAL $ 1 AMP SERVICE n PROGRESS ENERGY n W.R.E.C. <br /> 1 yr PLUMBING 1$ <br /> 1 1$ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAs n ROOFING n SPECIALTY n arRel <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 JYES NO <br /> ;;: �., igeliY � / / � / /�., ,, I J �,,, ,,,///�����^ ? REGISTERE N FEE cuRRENT b N Address 'Hoff 3rLl I c L . -046T lit yJ & `� License# I IR- b000Z 1p <br /> ELECTRICIAN (�a��d�C..�, o ' COMPANY 1 Cr ^ • Et ckt tc <br /> SIGNATURE REGISTERED <br /> k AP N FEE CURRENT EL CO N <br /> Address II' Eder b s a i , 1 • ! - • 1 h.I I k -3's4V License # 1 ELtt 12-9 i 0 <br /> PLUMBER C S N 6 � � - � - K . ( COMPANY 1( G ,C� M` IQ r I M�� �6 I <br /> SIGNATURE /�� I r. REGISTERED 'IIJW I FEE CURRENT kut..,j <br /> Address EP ►1�1I! i .�. M 4 / / w License # I (N • ()moat to <br /> 1 <br /> MECHANICAL <br /> COMPANY 1 r <br /> ' ,/ h <br /> SIGNATURE L i s { A O Pc C <br /> . ` Aix_ � ° -.�� REGISTERED N I S FEE �RRENT Y <br /> Address l <br /> ss 00611 ryW lI3rd. ALG. Jcnv iris, E. " ) License# 1C0(4 fl y'S 1 <br /> OTHER <br /> SIGNATURE COMPANY <br /> REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N J <br /> Address 1 1 License# I <br /> RESIDENTIAL Attach (2) Plot Plans (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit far new construction, <br /> Minimum tan (10) working days after submittal date. Required crake, Consbuction Plans, Slormwster Plans w/ Sit Fence installed, <br /> Sanitary Facilities 8 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 Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten (10) world g days after submittal date. Required onsite, Construction Plans, StOnnwater Plans w/ Set Fence instaled, <br /> SIGN PERMIT A Fealties 81 dumpster. Site Work Pence for all ner <br /> new projects. All coneraet requirements must meet compliance <br /> () sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> FB out application completely. <br /> Owner 8 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 A tnmey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERI/TTING (Front of Application Only) <br /> Service Upgrades NC Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />