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City of Zephyr"hills Permit Application Fax-813-780-0021 Building Department Date Received � .�e � ^�i'drri Phone Contact for permitting -- --1-T Owner's Dame <s r. ¢= Owner Phone NumberLI �T. fJ Owner's Address (o(F&Oo� ��mac' '''` p'� TG �P� »� � Owner Phone Number Fee Simple Titleholder.Name 1 , Owner Phone Number �^ 1 Fee Simple Titleholder Address F7 JOB ADDRESS f` `SG - LOT# T SUBDIVISION PARCEL ID# (- r: "� o ) (OBTAINED FROM PROPERTY TAX NOTICE) ` WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN F�7 DEMOLISH INSTALL REPAIR PROPOSED USE ©__ SFR COMM 0 OTHER TYPE OF CONSTRUCTION , FQ-1 BLOCK FRAME 0 STEEL r� DESCRIPTION OF WORK YlG " S4��1`� �th� �. ' a�t��,'8 J } 'cs4 BUILDING SIZE ��- !� SO FOOTAGE c� `LZ�t HEIGHT BUILDING $ ��1 0�1 VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $. AMP SERVICE PROGRESS ENERGY C] . W.R.E.C. Sc PLUMBING 0 20 MECHANICAL Is f �� VALUATION OF MECHANICAL INSTALLATION =GAS E!1 ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES - NO •-6•�--f-4-1-I-4-i-4-i-i-4-•O-C--C-11--1-4-F-➢-B--2-•C-4-i-4-4--4-:-C-1-v-C-4-4-. . . .--;-4-4-:-�. . . . 4-- -e-4-$s'rp6•: :-404-1-.1.-G•-4-�-. BUILDER / o � _w COMPANY.. 9`� -��""''� r�J' C SIGNATURE `-" REGISTERED Y/ N FEE CURRER Y/N Address % t�c l� 1 a`'CCs.'�i f` lc�� - License# '-C>�a � ..F-LECTRiCIAN fY� -' -- COMPANY SIGNATURE REGISTERED Y/ N FEE CURRER Y/N Address 6�' - `t� �P+�� C°"� License# PLUMBER �•a^'"' ...--_ _ COMPANY P t`�'r'"7,1�,�` ... d b`�� 't ^F° ` a' ► SIGNATURE '7 REGISTERED Y/ N FEE CURRER Y/N Address rK r gee,_ �,f�� License# a PC MECHANICAL ' � -:- __COMPANY rf" SIGNATUREf �• Gam' REGISTERED Y�/ N �FEECURREN Y/N �._._. r}^.. �r Address T�-- '. ,°�' d-,'�--� ��,,"' �t ."a�r^s��'ia � License C��9��,��' OTHER COMPANY SIGNATURE ^T� REGISTERED Y/ N FEE CURRER Address crl<,� z E.. � � License# ! 1l111111' Ilillilia' itliilitiiiii111lIi11Iii11111111 •I411illtlllliilll RESIDENTIAL Attach(2)Plot Plan::; (2)sets of Building Plans; (1)set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10)v:rurking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sllt•Fence installed, Sanitary Facilities&1 dumpster,Site Work'Permit for subdivisions/large projects COMMERCIAL Attach (2)completc- nets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten (10) arking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. "PROPERTY,& RVEY required for all NEW construction. .A-.i..b-1-L'-,1-6-.al-ll--l-i-l•-d-1-i--f-�8.r".--1.-1,..4.h-f.-I.-�{-1-I-.4-,*,.-6-.b..6-1--,1�-3-1.-4.-i-i..S-.t'-6-1-t-l-.s*i.-d-.4�.d..J�.6.�-•4-4.-L�9.�a..{#..8-,.Qa.l-.4-u-ti"-�-8-9- Directions: Fill out application completely. Owner§,Contractor sign back of 0plication,notarized If over$2500,a Notice of Comn:ioncement is required. (A/C upgrades over$7500) ** Agent(for the-contractor)or Pown,,r of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs•ifshin shingles Sewers :ServiceU 9 Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW ?