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' w r <br /> '813-78040020 City of Zephythills Permit Application Fax-813a80-0021 <br /> Building Department /�j <br /> Data Received Phone Corot tot PermiUing ar/3 707a— D G S7 <br /> Ownber 8/3-� 7��403 owes ire er Phone Numb <br /> �,�,.✓��,.,_,�_ _/ <br /> Owner's Address r(J J�lG�iC �tf+/, f!Rtt�d6lY Y Owner Phone Number <br /> Fee Simple Titleholder Na ne r Owner Phone Number 1 <br /> Fee Simper Tifteholder Address <br /> JOBADDRESS 7 05 e Zie LJOT# <br /> SUBDIVISION PAacE6 iD/ �5 p25 rX J dDS d4&�o / <br /> (OSTAMED FROM PROPERTYTAx No"M ' <br /> WORK PROPOSED NEW c0N5TR ADDIALT r__J SIGN M C] DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE C] SFR: Q COMM C] OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK = - FRAME [,_] . STEEL 0 -.I—— -- <br /> DESCPJFnON OF WORK Fa ?ant i/A GhRry a o dt t 02 Cow» d ut1&' <br /> BUILDING SIZE r SQFOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S -AMP SERVICE = PROGRESS ENERGY W.RE.C. <br /> =PL.UMBING ($ <br /> =MECHANICAL $ `e 1pl� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY 1 �� <br /> SIGNATURE (1 REoasrEREn Y/N FEE CURREK I Y/N <br /> Address .Ucense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE „��11 REGISTERED YIN FEE CURREn Y!N <br /> Address ! Licenses <br /> PLUMBER .COMPANY <br /> SIGNATURE' REGISTERED I YIN FEECURREn Y/N <br /> Address Ucense#F_ <br /> MECHANICALJ'� COMPANY <br /> SIGNATURE t�G sl�X.e�� ' REGISTERED YIN FEE W RRB A Y 1 N <br /> Address (7��'7'I /7/ICiV'1 . ✓�''T/ Liose# C�tt%o 3 9 <br /> OTHER ! COMPANY <br /> SIGNATURE t REGISTERED I YIN FEE CURREII LXLN <br /> Address iuow"#E_ <br /> Ill'Ilt111-11 h ull-It-1111111111111tit.til11111I / II1t111111111111111111111 <br /> RESiDi� I_ Attach(2)Plot Plans;(2)'sets of Building Plans;(1)set of Energy Fomrs;R-O-W Permit for now construction, <br /> Minimum ten(10)working days after submittal date-Requred onsite.Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pernit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets,o(Bkdkfmg Plans phs a Life Safety Page;(1)set of Energy Forms.R O-W Permit for new construction. <br /> Minimum ten(10)worldrg days after submittal date.-Required onsite,Construction Plans,Storrw+ater Plans w/Sift Fence installed. <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all now projects.All Commercial ioquimments must meet Compliance <br /> SIGN PERmrr Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> Dlrcciions:+ <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> B over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)- <br /> Agent(for the contractor)or Power of Atton ey(for the owner)world be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING loopy of Contract required) <br /> Reroofs If shingles Sewers Service Upgrades-AIC Fences(Piot/SurveylFootaga) <br /> Driveways•Ngt over Counter if on public roadways..needs.ROW <br />