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813.780-0020 City of Zephythills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Data Recefyed — �—( phone Contact for Perm)ttin [ J / 0 G7 <br /> fI t(QJ 1 ... <br /> tT:lrliTi'FT"CTT'TT' .. <br /> -'cti ^... <br /> Owners Na me .. 7 , Owner Phone Number Q�d J14'/I <br /> Ownses Address { Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 'j { <br /> JOB ADDRESS 1 I �( r• '1 r f F 1 :? LOT# <br /> SUBDIVISION PARCEL ID# ���` 0 4'f 0—0 130 D d 00 L'©- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT [� SIGN 0 [� .DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF:CONSTRUCTION Q BLOCK [J FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK FG At V V11 <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> -r-r.'r-r-t r-Eerre�i�r <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL ($ "� AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING. <br /> , <br /> FNAMECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING L]. SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS. FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY /V <br /> SIGNATURE REGISTERED A YIN FEE CURRE1, YIN <br /> Address License#F <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE REGISTERED Y!'N FEEdUhRRfn Y/'N <br /> Address F. License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN " FEE CURRE!, Y/t <br /> Address License# <br /> MECHANICAL COMPANY cr 9"Vifgd <br /> SIGNATURE(' REGISTERED Y/"N FEE CURREN Y/N <br /> Address .. Y t (. S J� License# li <br /> ' ..:. .. ems"—Rf--- .. _ .. <br /> OTHER" COMPANY <br /> SIGNATURE I YIN' FEE CURREA" Y/N --- <br /> Address License# ! <br /> 1.1111111'111'I11111I11hE`IIt1Cl1t,( ! 11l1'1 ! 1'1 ! ! 1.l1 / ! fliilli ! ! !'tillil'till' " <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 after submittal date. Required onsite,Construction Plans,"Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans pius.a Life Safety Page;(1)set of Energy Forms.R-OW Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans-w!Slit 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 Engineered Plans: <br /> --PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application Completely.. <br /> Owner&Contractor sign back of application,notarized.' <br /> if over$2500,a Notice of Commencement Is required: (A/C upgrades over$7500) <br /> Agent(for the contractor)or.Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing some <br /> OVER THE COUNTER,PERMITTING (copy of contract required) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Nat over Counter If on public roadways..needs ROW <br />