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�.� City Of Zephyi'hills Ptrmit Application Fax-613 Teo-oa21 <br /> Building Department <br /> Date Received z <br /> Phone Contact for Permitting <br /> Owner's Name Owner Phone Number VY1 ,5L <br /> Owner's Address �� �e i� " '"�' p''r ��s��f9J �a �5. Owner Phone Number <br /> Fee Simple T'stleholder.Name , r_ Owner Phone Number �— <br /> • <br /> Fee Simple Titleholder Address t <br /> JOB ADDRESS W 3Z CQ LOT# "�t <br /> SUBDIVISION u l' PARCEL ID# 6600 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT SiGN DEMOLISH <br /> 'INSTALL. - REPAIR <br /> PROPOSED USE �"` SFR COMM OTHER <br /> TYPE OF CONSTRUCTION . �'" BLOCK Q FRAME STEEL 0, <br /> DESCRIPTION OF WORK r1�L 51,,,-t, i 'SU�c ,- �` �'e 3 }-z z_ <br /> E3UiLDING SIZE � SQ FOOTAGE ` HEIGHT <br /> r'►-�-�•-r"R-r-�-r'r'rr-r-r-'-r-t-sr'rc-rm-r-e'i�I I ! V-srr•'c�-t"y^'�i' �'•t,!-a_p"�_r'�,.�'i"�-n_i"s Q'tT' <br /> =BUILDING r$ t`� GU� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $. AMP SERVICE PROGRESS ENERGY 0. W.R.E.C. <br /> & ()6 0 <br /> =PLUMBING $ <br /> 66 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> .-1..�.-1..>i.:l...}..a--a-I-:-�-I-�-l-rr�-.1-I-a--a-a.-a--�...c,-�--s-1-�.-:-:-�-.a.-�-�,-;..:�.I.q-..I•-�->r�-,:�-�.-a.-a-��..�,.,.�-c-;�;.A °.�I-�.a.•a-•t.1... <br /> BUILDER r7N `�! COMPANY <1✓� 6'�rJ"`�-er "'' r�f' <br /> SIGNATURE -i REGISTERED Y( N FEE CURREN Y(N � <br /> Address License# &-BcLo-a�C3 6 a <br /> ..F-LECTRiCIAN f � c-,./ - COMPANY �"l?C3n�J,fT �'1 rc' ` ''/' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y(N s <br /> Address 6�''- =+�,�`r`l eed License# �..;-cd o_0 �4� <br /> f / L <br /> PLUMBER � �� _ ,._. COMPANY <br /> .SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address � � t .i�� e_, , License <br /> MECHANICAL ,1 COMPANY <br /> SIGNATURE Qom`` �" �a^ REGISTERED Yrr/ N FEE CURREN Y/N <br /> Address i:.+ i �E "� a "/"�F•t�rL� D ' License# I° 4c_.0,?;:5 6 65 I I <br /> OTHER COMPANY =xdi'NF){� c' •' -�,�k ' <br /> SIGNATURE " � REGISTERED Y/ N FEE CURREN LLLN <br /> Address f_ `�' / , License# <br /> ItI ! lIIIl11lIllil � lliiIlIIIii1ilillli6lidltlttl111 •IIIi ! lIBlllllltll <br /> RESIDENTIAL Attach(2) Plot Piar:,; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)v:.-urking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sl1t.Fence installed, <br /> Sanitary Facilities Fa 1 dumpster;Site Work`Permit for subdivisions/large 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•constructlon. <br /> Minimum ten (10) )rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w(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)sets of E:,7gineered Plans. <br /> ' "*PROPERTY�SI'•-VEY required for all NEW construction, <br /> -i--4-6-0-1-4-�-3-1.�-4..➢-�..1-l-i=U-.':-.1�J-L..a.•i-I.-t�-i-l-a-i-I-.6..>•.1-.i,-b-1--9-.i-I.-F-3..6-b-i-.I�-B.-6«.6=.E..¢.-b..t�.'.�-e.J9..B...7�&-,9�0--R.�--0e6— <br /> Directions: <br /> Fill out application completely. <br /> Owner Contractor sign back of 0plication,notarized <br /> If over$2500,a Notice of Comn:vncement is required. (A/C upgrades over$7500) <br /> ** Agent(for the'contractor)or Pow(}r of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) 1. <br /> Reraofs•if shingles Sewers !service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW _ i <br />