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813-78O-W2D City of Zophyrrhills Permit Application Fax-813-78"021 <br /> Buftng Department- <br /> Date Received Ph..C'.tt for p.W g )—N-? <br /> a I A L <br /> Owners Name Ph d1 # T & :Tow—pho-Numb Ow.e.Address 1A18 I&h 1-3T Owner Phone Number <br /> Fee Simple Tillettelder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT <br /> SUBDIVISION F— t- <br /> 'PARcEioxFo-ool a(a 416196 0000009to <br /> (OSTARGED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW ODNSTR�ADD/ALT SIGN DEMOLISHR INSTALL REFAIR <br /> PROPOSED USE 0 SFR E:] COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK [::] FRAME STEEL <br /> DESCRIPT40N OF WORK I Re-5 Alc Chanae,out, C9 <br /> I f 4FAa f t <br /> BUILDING SIZE F SO FOOTAGE HEIGHT <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY r7 W.R.E.C. <br /> =FLUMBING 1$ <br /> E]36E`CHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =CAB r7 ROOFING M SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . 11 . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREt, <br /> Address I Lleenseg <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I YIN FEECURP0, L_11 N_J <br /> Address License <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address Incense <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREII I YIN <br /> N& <br /> Address Lig4ligivil- Z-bliks F11 UoKw# <br /> OTHER I COMPANY E <br /> SIGNATURE REGISTERED I Y/ N FEE CURREK <br /> Address License#F 7-71 <br /> RESIDENTIAL Attach(2)Plot Planw,(2)sets of Building Plans,(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ton(10)worlding days after submittal data. Required onsite,Construction Plans,Stormwater Plans vd SIR Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pormit for subcrtWslorr.Aarge pmjeds <br /> COW MERCIAL Attach(2)complete setsol Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ton(10)worldrig days after stifirnittal data. Required onsito,Construction plans.stormwater plans wl slit Fence installed, <br /> Sanitary I'Militles&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> a a a m a a . . . . . . . . . . . . . . . . . . .Directions: <br /> Fill our application completely. <br /> Owner&Contractor sign back of application,notarized <br /> .1f over S2500,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.. (copy of contract req mired) <br /> Raroofs if shingles Powers Servica Upgrades WC Fences(PIWSurvey/Footege) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />