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81378M20 City of Zephythills Perrhit Appliicatlon Fax-813ae0-W21 <br /> Building Department �}Dale Received Phone Conti for Permitiln9 <br /> owners Marne t i cS�•V owreerPnoneNt>mber S`3-7/5 o09t7 <br /> Owners Address 6 Jt" ART - owner Phone Walser <br /> Fee Simple TiBeholder Name 1 �1--- -- owner Ptwne Number t `� <br /> Fee Simple Titleholder Address <br /> JOBADDRESS- f0� o/�!Y' /� L/OyTT7 <br /> SUBDIVISKHd " r/t��i2 D s-1 _.PARCELID1r l�3 016,61 G�►GVD 49? <br /> (OBTAMM FR011I PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADWALT C] SIGN - M p DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE [� -SFR: p COMM Q OTHER . <br /> TYPE OF CONSTRUCTION ❑ BLOCK [= FRAME :STEEL p - <br /> DESCRIPTION Of WORK <br /> �e�5 C L' �'-��'. � r� To & f 4 -2 foArVC�itI1 <br /> BUILDING SIZE i. SQ FOOTAGE HEIGHT <br /> ❑BUILDING VALUAT ION OFTOTAL CONSTRUCTION <br /> ❑ELECTRICAL $- AMP SERVICE PROGRESSENERGY W.R.E.C. <br /> QPLUMlBING <br /> MECHANICAL I �+ u�d VALUATION OF MECHANICAL INSTALLATION <br /> pGAs ❑ ROOFING ❑ SPECIALTY.= OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA ❑YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y!N FEE CURaen LZLN <br /> Address License# <br /> ELECTRICIAN L COMPANY <br /> SIGNATURE REGISTERED I V 1 N FEE CURREI, Y/N <br /> Address _ License# <br /> PLUMBER 1 COMPANY <br /> SIGNATURE 111 REGtsrFttP.n I YIN FEEcuRREin <br /> pddres, <br /> SIGNATURE <br /> � 1L� COMPANY <br /> SIGNATURE �' REGISTERED Y/N .FeE cuRREn _ LyjNj <br /> Address yl/�// /,�llenlAd,'2- /,�iets License# �4 895�es1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURRta Y/NJ <br /> Address License#F <br /> ! lt7tit11111T11'1i711.11itiR11 / lit,/ 1.tiiftfllt11 / llifl !lt11l111lI11 / 111 <br /> RESIDENTIAL. Attach(2)Plat Plans;{2}sets BWWI ng Plans;(t)set of Energy Forms;.R-O•W Permit for new construction. <br /> Minimum ten(10)waking days after submittal date. Required ensile,Construction Plants,Stormwater Plans w!Sift Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivLslonstlarge projects <br /> COMMERCIAL Attach(2)complete sets.of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimtan ten(10)woddng days attes,submittal date._Required onsite.Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all now projects-Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plants. <br /> PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . . ...sue... . . , <br /> Diteetlons: � <br /> Fill out application Completely. <br /> Owner&Contractor sign bade of application,notarized <br /> 8 over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of At6emey(for the'owner)would be someone with notarized letter from owner authoring same_ <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reranis d shingles Sewers Servile Upgrades AIC - Fences(PlottSUrvey/Footage) <br /> Driveways-Not over Counter if on public roadways..n Beds ROW <br />