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813-7e0-oo20 City of Zephy hills Permit Application Fax-813ae0-0021 <br /> Building Department <br /> Date Rena ( plume Contact:for Permn": /3 <br /> Owner's Name '► G t 5 Owner phone Number <br /> owner's Address o24W/5 —rAln ` owner phone Number <br /> Fee Simple Tideholder Name —! Owner piwne Number <br /> Pee Simple TftWwlder Addreesss <br /> JOB ADDRESS V ! � G� ' <br /> LOT# <br /> SUBDMSION PARCEL UXI 0 26 4916 M —4014-6 -1IMAM FROM PROPERflr TAX NOTICE} <br /> YYM PROPOSED NEW C01 M ADD/ALT SIGN C] Q DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPr.ON OF WORK jplJ V, L It-J v S <br /> BUILDING SIZE [� Sq.FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL IS AMP SERVICE [Q PROGRESS ENERGY W.R.E.C. <br /> QeLUMBING �L7�_�J <br /> =MECHANICAL ' --1 v&uATfON OF MECHANICAL INSTALLATION <br /> [F(CAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO tr <br /> 2 <br /> f� S <br /> BUILDER ii COMPANY II <br /> SIGNATURE 1 REMSTERED I Y/N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN 1t� COMPANY 1 <br /> SIGNATURE I REGISTERED I YIN FEE CUMV, Y 1 N <br /> Address License# <br /> PLUMBER FCOMPANY fF, <br /> SIGNATURE REGISTERED I YIN FEE CURM3, I Y/N S <br /> -�Address License# <br /> MECHANICAL COMPANY I � <br /> SIGNATURE F REGISTERED I Y/N FEECURREA Lj!N j <br /> Address License#F� .._� <br /> met COMPANY If�tJh�!?5�/3N�'IsAS <br /> SIGNATURE / ••'� REGISTERm I Y/ N FEE CURREn I Y/N <br /> Address �TT! leRd' License#I '017o ( i <br /> RESIDENTIAL Attach(2)Piet Plans;(2)sets of Building Pions;(1)set of Energy Faros;R-O-W Permit for new construction, i <br /> fAnimum ten(10)Ong days after sutirmital date. Required onsite,Construotion Plans,Sfamiwater Plaits w/Silt Fence installed, t <br /> prWMft <br /> COMMERCIAL Mach,Sanitary2)complete seas �ng�Ptans plus a Ufa Safety Page;(1)set of Energy Forms-R-O-W Permit for new construction. �4^ <br /> ivinimrmr ten(10)wor"days after submittal date. f2ergrired aristte.C.asstructiorr PlarLs,StormwaLer Plans w/sift Fence imsGalled, <br /> Sanit ery.FaaTi ties&1 Oumpster 0dB:Nftrtc Peaitit-for a8 nWpqects-AD commercial requlremersts must mW compliance <br /> SIGN PERMIT Attach(2)sets.of Engineered Plans. . <br /> —PROPERTY SURVEY required forall NEW construction. <br /> All-out application completely. <br /> Owner&Contractor sign bade.of app6ieation,i>bYaiized a:. , y; <br /> If over$25W,a Notice of Cornmencenerd is regsured• (AIC upgrades wAw$7500) <br /> Agent(for,the Cone ctar)or Power of Attorney(far the owner)would be someone with natruizec!letter from owner,authorizing same <br /> OVER THE COUNTER PERM6*1113 (copy of aonbact'requirad) <br /> Reroofs tf shingles Sewers •Servioe Upgraries.A/C Fences(Piot/SurveyfFootage) <br /> Driveways-Not over Counter lf,on pubic roadwrrys..needs;ROW <br /> r`�v <br />