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t w r 813-780.0020 City Of Zephyrtlills Permit Application FaXA13 Asa ugz1 <br /> Bw1dingDepartment- <br /> Data Received Phone Contact for Per ri tt ng1. <br /> Ownees Name S I Q O Owner Phone Number ✓� '�-�— <br /> Ownor's Address arl'— Ave Owner Phone Number C� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address JOB ADDRESS 12no Kay Marie �" i �y A��LOTT#') �7 <br /> SUSDMSION I a � PARCEL IDS 3 a✓ �t Q R-7Q OW w a D r Q <br /> (08TAIIIED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CD I r✓I ADDIALT [� SIGN [� [] DEMOLISH <br /> INSTALL a REPAIR <br /> PROPOSED USE Q SFR = COMM• OTHER <br /> TYPE OF CONSTRUCTION _ Q BL/O'}C,K�y = FRAME. � STEEL <br /> OMR]PT:ON OF WORK t5 TJ Ci 0 V <br /> 13UILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> _ =PLUMBING (5 <br /> MECHANICAL $3775 OZJ VALUATION OF MECHANICAL.INSTALLATION <br /> =GIAS r7 ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS 1 FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREP LY/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURRE Y/N <br /> Address License# —� <br /> PLUMBER COMPANY <br /> SIGNATURE RE41srERED I Y/ N I FEE CURREn Y/N <br /> Address License# <br /> MECHANICAL COMPANYr&hr!5 <br /> SIGNATURE 1 REGtSTHiID Y/N FEE pRREA Y I N <br /> ``'' <br /> Address T ! ( License#!t.-r 1(--6'---� <br /> OTHER COMPANY <br /> SIGNATURS REGISTERED I Y/ N FEE CU(R'REN <br /> Address License#t i <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Pans;(2)sets of Buliding Plans:(1)set of Energy Forms;R-O-W Permit for new construction. <br /> Minimum ten(10)waiting days after submittal date. Required onsite,Construction Plans,Stommwater Plans w/Silt Fence installed, <br /> eciS <br /> COMMERCIAL Attach(2) to sets,of Building Plans Plus�a Lifb Safety PaW,(1 seto Energy Forms.R-O-W Permit for new construction. <br /> R intnum ten(10)working days attar submittal data_ Required onsite,Consbuctlan Plans.StO mwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&t dumpst er.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 /> Directions: <br /> FII out application completely. <br /> Owner&Contiactor sign back(#application,notarized <br /> if over W500 a Notice of Commericetneitt Is required. (All upgrades over$7500) :r <br /> Agent(for the contactor)or Power_of Attorney(for the owner)would be someone with notarized letter from owner authortzmg same' <br /> OVER THE COUNTER PERMITTING, ..:. (copy of co$trad required) <br /> Reroofs if sttingles 'Sewers ... .SaMoe Upgrades )C Fences(Pot/Survey/Footage) <br /> Driveways-Not over-Counter konpublicroadways..nee&'00W . <br />