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813,780-0020 City of Ze-phyrhills Permit Application Fax-813-78D-0021 <br /> Building Department <br /> Date Received Phone cordactforPerritilitina -Ice)/3 )-Tya 1501-5, <br /> Owner's s Nftau"wMe h L5 An ne+k,Ak�han .Ph. Number -5og-75q5 <br /> FM <br /> Ownees Address ICOONO 14dolfaILIV-DiZ Z phi l),51 owner Phone Number I <br /> Fee Simple Titleholder Nam F— I Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 100NO 01" D dilrimil R ff 0 <br /> SUBDIVISION Izephyr -P,ic!qf)n PARCEL 10#105,Q(po?l -0/30 O COCO LOTC470 <br /> . I NEW CONSTR AMALT (OSTADIED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R INSTALL REPAIR SIGN DEMOLISH <br /> PROPOSED USE Q SFR = COMM OTHER <br /> TYPE OF coNmuenoN BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK emr= <br /> F <br /> BUILDING SIZE SO FOOTAGEE=n HEIGHT <br /> =BUILDI No $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> CoMECHANICAL 1$14&;l Lj� VALUATION OF MECHANICAL INSTALLATION <br /> Mcm 0ROOFING E] SPECIALTY r-7 OTHER <br /> FINISHED PLOOR ELEVATIONS 7 FLOOD ZONE AREA =YES NO <br /> , offis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURM <br /> Address License#r <br /> RECMCIAN COMPANY = <br /> SIGNATURE' REGISTERED I YIN FEECURREI, L�—N <br /> Address License# <br /> PLUMBER I COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURM LILNJ <br /> Add. License#F— <br /> MECHANICAL -��� COMPANY <br /> SIGNATURE REGISTERED I YIN I FEE CURM I YIN <br /> Address qqu I JX'Rd-ZRIT.5 F License#I OAO <br /> OTHER I i COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREK <br /> Address Uo....# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum tan(10)worldng days after submittal date. Required onsite.Construction Plans,Stormwater Plans vd Sift Fence installed, <br /> Sanitary Facilities&I dumpster,She Work Permit for subtfivislonsilarga 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)worldni;days after submiltal date. Required onsite,Cmftchon Plans,Stormwarter Plans,wl Sot Fence Installed, <br /> Sanitary Facilities&I durripster.Site Work Permit for all now projects All commercial requirements must meet compliance <br /> SIGN PERMrr Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> ... . . . . . . . . . . . . . . . . . . . . . . . . <br /> oftedices. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> Rover$2500,a Notice of Commencement is required. (A/C upgrades over$75W) <br /> Agent(1-the—tractor)or P—of Aft—y(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING. (copy of comract required) <br /> Remofs N shingles Sewers Service Upgrades A(C Fences OnWSurveylFootage) <br /> Driveways-Notover Counter Won public madways-needs ROW <br />