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City of Zephyl'hills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting - <br /> r <br /> me +, 1-. �= Ow Owner's Na r Phone Numbert`I C fJ <br /> Owner's Address '" '0', T.:--,1)^}o,Y J Owner Phone Number �— <br /> Fee Simple Titleholder Name -- i� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ^t •9( LOT# <br /> SUBDIVISION PARCEL I D# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED I =i NEW CONSTR tL 8 ADD/ALT SiGN DEMOLISH��1l INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION . BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE F SQ FOOTAGE �W, '�f HEIGHT <br /> -r-r•m-r-r-r'r'z�-e"r-r_T_r r'_r-rr�'rmc <br /> =BUILDING $ i b -�� VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $. L AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ t �ry� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> �-•C-i-�-i-i-�--i-6--F-�--{-i-i--�'-$-i-�-6-B-i-C-1�-i-}.�F-.1.�:-€-1-�V'-i-�'-'w-i-:-`v..Gri `-�::8-C""6--@-w-@��-}t-i•-3��Aia i-tea'-a-1'-6-@-'1� <br /> BUILDER ` �� �� COMPANY + �` � <br /> 31GNATURE �^ _ REGISTERED Y/ N FEE CURRER Y/N <br /> Address %c����;1 %�����r z r' .1��}� c License# '" +r <br /> ELECTRICIAN ' e, �, COMPANY r�.d'r9i CJ*'�,SN'1v��C�7F <br /> 31GNATURE ^6e A REGISTERED Y/ N F.EECURREEN Y/N -� <br /> goo <br /> Addresses- � 0n`' r , `L'� r� License# dr� r <br /> 'LUMBER COMPANY f ' 1/-Awx •, �:C3_114*9' Gid'11?1_16;.,.'2 <br /> 31GNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address L( f r ,jam ',ter " License# a r c ow 2�/' I <br /> JIECHANICAL �.l,a•��..'..�-•�,,.-��.. _...-,.�..�,a........_.-____COMPANY � <br /> 31GNATURE f �` // REGISTERED Y•/ N FEE CURRER Y//N <br /> Address �* ,°� (�.i1z��^ .lJ�a acrt/ 1` � License <br /> 7THER COMPANY <br /> iIGNATURE REGISTERED Y/ N FEE CURRER Y/N <br /> License# <br /> Address � r`� -� %ti = <br /> .__. '__. L <br /> 11l1l11t1' l11i1C1i _� ltltltilliiittllllitllli11111111 •illlliiiilltllil ! <br /> IESIDENTIAL Attach(2)Plot Pla;l..; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten (10)v:.-orking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt•Fence installed, <br /> Sanitary Facilities b i dumpster;Site Work'Permit for subdivisions/large projects <br /> :OMMERCIAL Attach (2) complete 3efs of Building Plans plus a Life Safety Page; (1)set of Energy Forms. R-O-W Permit for new-construction. <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 /> ;IGN PERMIT Attach(2)sets of E.7gineered Plans. <br /> **"*PROPERTY'SI..'RVEY required for all NEW construction. <br /> I-i..e�i-�S.�i-'d-1•..b.4..4..1-.4.,I..i-.t-8._:�-i-3.-{--0-�lL-i-6-�1-i.�..e�B..i-.b-i-If-8�E�9�.i-.G-�1-i-I�6.-5-d�9.�!+-�.1-'�4-��9.-c�s_�A..i-.9m.tl-limed-0-d-. <br /> firections: <br /> Fill out application completely. <br /> Owner�Contractor sign back of.i)piication,notarized <br /> If over$2500,a Notice of Comn.vncement is required. (A/C upgrades over$7500) <br /> Agent(for the-contractor)or Pow(;!-of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> ,VER THE COUNTER PERMITTING (copy of contract required) <br /> eroofs•if shingles - Sewers 'service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />