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1 . <br /> 813-780-0020 City Of ZephyThills Permit Application <br /> Fax-813-780.0021- <br /> Building Department v <br /> Date Received Phone Contact for Permitting <br /> omMrtersName C,Cd (Js keO�QPI" Ownef Phone Number <br /> Owtrefs Address �$ 9 g'£ /.)® -D� Owner Phone Hutnber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address JOB ADDRESS 6549.�J <br /> /� R� �� • LOT# <br /> SUBDIMION !��a 1e 05-f<J PARCEL ID6 0 <br /> ,,���� <br /> (OWA1NED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e N,INC WMEff/ ADDIALT = SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION - = BLOCK Q FRAME = STEEL <br /> DESCRIPTION OF WORK $ file A& e 10'9 Of ���T5 �J �d N • • <br /> BUILDING SIZE SQ FoorrAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ ' 1 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN I FEE CURREA Y J N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREA Y I N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE L REGISTERED I Y/ N FEE CURREA Y/N <br /> Address License# <br /> n t <br /> MECHANICAL � COMPANY m S /lf� <br /> SIGNATURE / REGISTERED I YJ N FEE URREn Y/N <br /> Address d1Htf! /.G JrA License# ,f 3 <br /> OTHER COMPANY <br /> SIGNATURE REGISTMED I Y/ N FEE CURREh i Y/N <br /> Address License# <br /> 111111t1111tllllllilllltlllllllllllllli1111111111111111111111111111 • <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 ten(10)working days alter submittal date. Required onsite,Construction Plans,Stormrater Plans w/Silt Fence installed, <br /> Sanitary Famtities&1 dumpster,Site Work Permit for subdivisionsaarpe projects <br /> COMMERCIAL Attach(2)complete sets of Bmntding Plans plus a Life Safety Page,(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)waking days after submittal date. Required onsite.Construction Plans,Stornwater Plans w/SIR Fence installed, <br /> Sanitary Facilities&f dumpster.Site Work Permit for all new projects.All commermat requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Directions:. <br /> Fill out application completely. <br /> Owner&ContracW-sign back of application,'rrotariied <br /> If over$2500,a Notice of Commencement Is required. (NC upgrades over$7500) -.. <br /> Agent(for the contractor)or Power of Attomey'(for the,owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE-COUNTER PERMITTING .(copy of contract required) <br /> Reroofs if shingles' . Sewers Service Upgrades A/C ' Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter f on public roadways-needs ROW <br />