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813-780-0020 City of Zephythills Permit Application Fax-813-780-0021 <br /> Building Department - - - <br /> Date ReceWed /- <br /> 22 Z�UPtwrro Contact for PermlNin 13 3 <br /> m 73 _ GG�"7 <br /> Owner's Nae t7A P11 7N TIS'f CH09Cµ Own <br /> er Phone Number r7/.3'-7 �1- so8 <br /> Owners Add... -3?�735_ AAMFu ft,,p Owner Phone Number <br /> Fee Simple Tldehardar Name Owner Phone Number <br /> Fee Simple Tttlehalder Address <br /> JOB ADDRESS Sr1mk f1S qN.,. u LOT <br /> SUBDIVISION PARCELID# .rr I'N"�I'0000 IPCIP& c"OSO <br /> (OBTAINED FROM PROPERTY TAX NOTICE( <br /> WORKPROPOSED ® NEW CONSTRB ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION 0, BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK S)'f/IRQi°; WAur- ,ciP.,dSIFa� ,JOP RDA&qr-ps <br /> BUILDING.SIZE /OS(v q, 9 I SO FOOTAGE Ill SIO HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ /S OOD AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBINGi,q, � , <br /> =MECHANICAL $� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER r/Cfz COMPANY ST/Ali AJcnoJ NG <br /> SIGNATURE REGISTERED N FEE CURREP, Y/N <br /> Address �S� VC E CLL6L IJ Ab iLAOC1TT 33 License# CATO /.740/ <br /> _.,ELECTRICIAN E. ` COMPANY <br /> t SIGNATURE \ 1..LLLI(- REGIST.. I YIN FEECURREn I YIN <br /> Address License#f <br /> P BE" <br /> COMPANY L P-e, /O.s ,'t e— <br /> ATURE REGISTERED Y/N FEE WFI RB, Y/N <br /> Address. n—o J 7��✓j License# F <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YIN I FEE WRRE), LY.LIN <br /> Address F License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE WRREI, I Y/N <br /> Address License# <br /> tiESI0ENT1Al. Attach(2)Plot Plans;(2)sets of Bui r ding Plans;(1)set of Energy Fos;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date.Required onsite.Construction Plans.Stormwater Plans w/Silt Fence Installed, <br /> San"Facilities 81 dumpster,Site Work Permit for subdivisionsflarge 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 /> Minimum ten(10)working days after submittal date.Required onslt%Construction Plans,Slormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster.SRO Work Permit for all new projects.AD commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans, <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> DlrecttOns: <br /> Fit[outapptkabon completely. <br /> • Owner 6 Contractor sign bark of application,notarized <br /> If over$2800,a Notice of Commencement Is required. (A/C upgrades ovsr$TWO) <br /> Agent(far the contractor)Or Pourer of ADamey(for the Owner)would be someone with notarized letter from owner aulhorWng Same <br /> OVERTHE COUNTERPERMITTING (copy of contract required) <br /> Rereofs If shingles Sewers Service Upgrades A/C Fences(PIoNSurvey/Footage) <br /> • Drivoways-Not over Counter Ron public roadways-needs ROW <br />