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s�sasaoozo City of Zephy�hills Permit Application Fax-813-7'$0-0021 <br /> Bul ding Department <br /> Date Received Phone.Can#a for Perrnittln <br /> Owner's Name ��r r� C, i Owner Phane Nnmber � t��� <br /> Owner's Address ^Vr Owner Phone Number � � <br /> Fee Simple Titleholder Name Qwner Phone Number �� � <br /> Fee Simple 7ltlehalder Address <br /> JOB ADDRESS �J� � "�� �-.� � r l�l �� L07# �� <br /> SUBDIViS10AI �i � PAR EL ID# <br /> (08TA1NED FROM PROpERTY TAX NOTICE) <br /> WdRK PROPOSED NEw CONSTR ADD/ LT �J SIGN Q [� DEMOUSH <br /> e INSTAIL 8 REP IR <br /> PROPOSEO USE Q SFf2 Q COM� 0 OTNER GirL � <br /> TYPE OF CONSTRUCTI4N Q BLOCK Q FRA E � STEEL Q <br /> DE3CRIPTION OF WORK 5\E�l�`�t+^r:�� il���c �J�`1��6 �uv�(r' <br /> BUILDING StZE ��1/ji'i � Sq FOOTAGE I l`�,�ft' I, HEIGHT��� � <br /> QBUtLQING $ r,t�,r�� VAL.l1ATl N OF TQTAL CONSTRUCTION <br /> V �7 . <br /> C��L������� �—r� AMP SER ICE Q PROGRESS ENERGY [� W.R.E.C. <br /> OP�t1M81NG $ �� " � , <br /> �� ��`�Z� <br /> OMECHANICAL $ VAI�UATI N OF MECHANICA�INSTAtl.ATlOt�t ` <br /> QGAS Q ROOFING Q SPE�IA�TY � 47HER <br /> FINISHED FLOOR ELEVATIONS � � FLO �D ZON�AREA QYES NO <br /> FFf#Ffii= <br /> BU2I.DER .. �C/�,��y`�� �� �(� �OMPANY �LRht+t �A�tr �`v�-�(�' ►l',1'��� <br /> SIC,�NATURE �"�'"''� ( " EGISTEREU Y/ N FEE CURRE� Y/N <br /> Address � � �,��� •.�°�+� �+�. Ctcense# �— � <br /> I ` <br /> ElECTRIGIAN QMPANY <br /> SIGNATURE GISTEREp Y/ N FEE CURRE� Y/N <br /> Addre�s License# �� �� <br /> PIUMBE�2 �pMPANY <br /> SIGIdATURE EGISTERED Y/ N FEE CURREA Y/N <br /> ���°� Llcense# �� � � <br /> MECMRNICAL �QMPANY <br /> SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N <br /> Address Lfcense# �— �� <br /> OTHER QMPANY <br /> SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N <br /> � �d�� ' License# � � <br /> RESIDENTIAL• Attach{2}P►ot t?ians;(2}sefs of Bultdiitg`Alans;(1) et of Energy�Forms;R-C}-W Pennit for new construoUon, - <br /> MlNmum.ten(.1.Q)worlcing days after submittal date.I Required ansite,Construcdon Plans,Starmwater Plans w/S(It Fence instelled, <br /> Sanitary FaGl.itles,&1.dumpster,Site Wor1c Permit for sa6divistonsllafge projects <br /> COMMERCIAL Attach{3}cari�plete sets of Bulli#irig Plans pfus a Life 5afety Page;(i)set o#Energy Farms.RA-W Permit for new construction. <br /> Minimum ten(10)working days'after submittal date. Requ(red onsite,Constructlon Plans,Starmwater plans'w/Silt Fence installed, <br /> Sanitary FaciliHes 81 dumpster.Site Wark Permit r a!I new projects.Ail commerciai requlrements must meet compiiance <br /> BEGN PERMIT Attach(2)sets of Enginesred Ptans.,. . , <br /> "`"'PRQPERTY SURVEY required for all NEW cons ction. <br /> Dlrectlons: <br /> FIII out applfcadon completely. <br /> Qwner&Contraotor sign bacic of appkicatlon,natarized aN,�,„;.:....x�.,,.<,..� ...,,�.a.;.-.. <...�.� ...ri, ; <br /> 1#over$2500,a Natiae of Commencemerrt Is required. (A/C u grades over S7S00) `t � •,� _ ' _ $ <br /> " Agent(for tFie co�tractor�or Pawer of Attomey(for the awnar)woul be someone with nota�ized lette�`�from•owner authodzing same" _ <br /> dVER THE COUNtER RERMETTING (Front of Application dnly) � �,� ' ' - � • `� <br /> .-_f•��.,,,�-,,: -<.. .., <br /> Reroofs if shingles Sewers Service Upgrades A/C Fen es(PIoUSurvey/Footage) �� � ' <br /> D�iveways-Not over Caunter it on public rosdways..needs ROW <br />