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813-780-0020 City of Zophyrhills Permit Application Fax-813-780-021 <br /> Building Depaftent <br /> D21S Received <br /> Phone Contact for Permliffin ✓ <br /> 9 .... ....... ,,­Q <br /> Owners Name I Uwmayry- AArwes Owner Phone Number <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Numbir <br /> Fee Simple TillohoidGr Address <br /> JOB ADDRESS LOCAAon -tycl I LOT a <br /> SUBDIVISION 01S, PARCEL IDS 10-0 oAD-a-9 m-o <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTftR- ADDIALT' SIGN- DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER I <br /> TYPE OF CONSTRUCTION Qt <br /> BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> ........1 111111 <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING <br /> TTT llu acio-o - p <br /> �cl�/ {1lj/ 1 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONEARE A =YES NO <br /> ...... 44+ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YJ N FUCURREN I Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE K61STERED Y1 N FEE CURREh L_XIN_j <br /> Address Uoense#F— <br /> PLUMBER CO1WPANV V <br /> SIGNATURE REGISTERED I Y/N - FEECURREI,- L_YLW <br /> j <br /> Address W511 &—SAIMe-Y)m KT. LIcense#rU%-- DD-002 v <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEEcumh LY N <br /> Addrous License# <br /> OTHER =MpAmy <br /> SIGNATURE F REGISTERED I'Y1 N FEE CURREN <br /> Addreso' U00TISO# <br /> ........................... ............ <br /> RESIDENTIAL Attach(2)Plorpl.n.!("2)*7W'of"Building Plans;(1)set of En'erpy'rorms;R-O-W Permit for new constru#lon. <br /> Minimum-tan 00)working days after oularhIttal date.z Required onsite,:Corathtclion Plans,Stonriwater Plans w/Snt Fence installed, <br /> Sanitary Facilities A,idumpater:Site Worts Permit for subdivislonsfiatge-projects : <br /> COMMERCIAL Attach(3)complete sets of Buliding Plans Plus a Ufa Safety Page;(1)set of Energy Forms.R-OW Permit for now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence Installed, <br /> Sanitary FacilitIes&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)ii6ts of Engineered Plans, <br /> PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill Out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> if over VUB,a Malice of Commencement Is mquirad. (AIC upgrades over$7600) <br /> Agent(for the 6antractori or Power of Aftmey(for the owner)would be someone with notarized letter from owner authorhdng same <br /> DVER THE COUNTER ER PERMITnNG . (Front of Application Only) <br /> Retools If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if an public madways-noods ROW <br />