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City of Zephyl'hills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 'd <br /> Phone Contact for Permitting -- <br /> --r-r-rin-mr- r <br /> J: �= Owner Phone Number Owner's Name <br /> Owner's Address f COA p 5 '5'2Owner Phone Number — <br /> Fee Simple Titleholder Name Owner Phone Number --- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# L=_ <br /> SUBDIVISION ) PARCEL ID# � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED e'' NEW CONSI'R 8 ADD/ALT u SIGN 0 DEMOLISH <br /> •INSTALL REPAIR <br /> PROPOSED USE ��` SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK ::r FRAME STEEL A <br /> DESCRIPTION OF WORK �L J•4 ��x"�c3i 1 '�a� i��� +��.7�^'c ice: ti `r , <br /> BUILDING SIZE -^�-1 SQ FOOTAGE HEIGHT <br /> 'I A I e�-r-r'rr-rt-^r r r-tt"r'�-s'-r^�r'^r a-�-c-a i"rs-r <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL rr$• AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> PLUMBING <br /> OMECNANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> ZtS-7j <br /> cob <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS C i FLOOD ZONE AREA DYES NO <br /> fl-C-G-9-i-6pi�-C-,'Fi-1��-'�-C-.-r7-1-8-E-T�-a-fl-,-.-6-3�,�0�',�.-1-1•�--l-P-S- <br /> BUILDER j COMPANY • - 9 }0 T)_C <br /> 31GNATURE '-" -f REGISTERED Y/ N FEE CURREN <br /> Address %ca,�1 1-if/2rC,0 License# ���-�•����6 <br /> LECTRICIA(v f K� �, . - COMPANY <br /> 3IGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address ' � °� ^r ,* �1 License# �ago r a, <br /> y <br /> 'LUMBER COMPANY <br /> 3IGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address K fr Trr-�"' .il - License# <br /> JIECHANICAL ){ ,r COMPANY a ' <br /> 31 GNAT URE (�` ram"' " "— REGISTERED W/ N FEE CURREN Y/N <br /> Address ' " t � License# <br /> ��.-•����,��k���' <br /> )THER COMPANY f111 kr � )ll.%"t-!' h-fit a <br /> iIGNATURE ^�� REGISTERED Y/ N I FEE CURREN L Y j N <br /> p c/ �} <br /> Address ��7/ .• �" l[� f' g � 7` I L r.- t� License# <br /> ttt11t # # t' 1Iii1111 _� [ tl11lt # ttll ! # 11 # tlllllt # IIIIIII .! # ! l111 # 11114tl0 ! <br /> IESIDENTIAL Attach (2) Plot Plar-,; (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 E, 1 dumpster;Site Work•Permit for subdivisions/large projects <br /> :OMMERCIAL 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) )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-igineered Plans. <br /> "PROP ERTY'SI:,-IVEY required for all NEW construction. <br /> k-0..E..1-•t..➢-3-�-G..B�.i.�1.-#-.#-�C-.1�i•:-.sb�'S.-I-.S-1.-.14-.�5-9�1�i-�.-14..�.-.i.,#--�-.R-9.-E.-L..6..�-.2-..t-@-.8�i-b--6-H..�..�..t�.$._d.�0•-�-�-6�➢-9�Y.m6-1-11�..8-e�9-.. <br /> ftecfions: <br /> Fill out application completely. <br /> Owner§L Contractor sign back of.0plication,notarized <br /> If over$2500,a Notice of Comw ncemeht is required. (A/C upgrades over$7500) <br /> Agent(for the-contractor)or Pow(;r of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> 1VER THE COUNTER PERMITTING (copy of contract required) - <br /> eroofs•if shingles • Sewers `.lervice Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />