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813-780-0020 City of Ze0hyrhills Permit Application Fax-813-780-002i <br /> Building Department <br /> Date Received Phone-Contact for Permitting. <br /> ownses mama L-ennav IiADM-c' S Owner Phone Number <br /> I LA W00 U3 cvl Pi ves 40a)Ix, <br /> Owner's Address PL Owner Phone R9umb®r hr <br /> Fee Simple Titleholder Name. Owner Phone'Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Ebl'bLO MOO 0 f_(Q -HWID-0 LOT 0 <br /> SUBDIVISION y PARCEL iD# co- Oi t^ c o cocicio- i o <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT' SIGN Q Q DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED.-USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION Q4 <br /> BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK cn <br /> BUILDING SIZE M:SQFOOTAGE=. HEIGHT <br /> =BUILDING $ VALUATION-OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> $ <br /> 1 DD a) I <br /> =MECHANICAL i$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> ..HHHHH",........... ...... H4ff <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED / N FEE CURREN <br /> address License# <br /> 1 ELECTRIC,1 M COMPANY <br /> SIGNATURE REGISTERED LYI_N J FEE CURREN <br /> Address License* <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ W _- FEE CUR PREP I YINV <br /> Address License# 1 3 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y N FEE CURREN L_YI_N J <br /> Address License.# <br /> OTHER "COMPANY <br /> SIGNATURE REGISTERED I- Y/ N , FEE CURREN <br /> Address License# <br /> RESIDENTIAL, Attach(2)Pidt,'Plans;-(2)Sets of Building-Plain's;(1)set of Er e*WForms:R-9-W Permit- for newconstruPtIon. <br /> Minimum-ten-(10)working days after submittal date.;Required onsite,'Consthictl6nPlans;Stormwater-Plans w/Silt Fence installed, <br /> Sanitary Faclllfles4 tdumpsteip,Site Work Permit for subdivisions/* arge prdjech,;.' : <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.ROW Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attach(2)'adts of Engiheerad Plans.- -- <br /> -*PROPERTY SURVEY required for all NEW construction. <br /> ------------- <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2300,a Notice of Commencement Is required. (AIC upgrades over$7500) <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 If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..-needs ROW <br />