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i City of Zephyi'hills Permit Application Fax=813-780-0021 Building Department Date Received '�h� � Tfkof'>� 1lp. .. a �F. Phone Contact for Permitting - Owner's Name t r3 r. - Owner Phone Numbert Owner's Address �vS�C+f�o� �� ' '"�' �'f I G")^fo,-.,)�4 -5,20wner Phone Number Fee Simple Titleholder Name C,-vn• c— Owner Phone Number ---- Fee Simple Titleholder Address ` JOB ADDRESS 'TVQ. LOT# t� SUBDIVISION C_ PARCEL ID# �� `� - Ct (OBTAINED FROM PROPERTY TAX NOTICE) ' W014K PROPOSED �' 'NEW CONSTR R ADD/ALT SiGN 0 DEMOLISH INSTALL REPAIR PROPOSED USE SFR 0 COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL p DESCRIPTION OF WORK J BUILDING SIZE I � SQ FOOTAGE i4 Z HEIGHT -rrR-x-t-r-'r�-r-r-r-r1-'�r'-r-r'�-s-s'-x'>r-�'try-'c-rs~c's-s'^'i'�"rr-r�".t--rrrr-I-r-r"t-i"t"rrrrr-'Q"Q-c--s'r^'i-a-4-�-e•'r'�"Q'�"' =BUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRiCAL $, p t AMP SERVICE 0 PROGRESS ENERGY �] . W.R.E.C. PLUMBING $ f Zda_ =MECHANICAL $ N VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS ; FLOOD ZONE AREA =YES NO •+I-d-•6-�-i-➢--0--1-➢-�-i'-➢-'G-➢--➢--➢-i-4-�+-1'--C--i-C-➢-*-S�F�i--'-➢--1--1-➢-"a-➢-➢-ir-i�6--°r➢-C-➢-'v-➢r-8-,'f-➢�=v-"�-➢-�a-;i-➢•-i•o;�0�:�°w+°�-R-4-t-➢-�-• BUILDER A COMPANY SIGNATURE _e J J REGISTERED Y/ N FEE CURREN LILN Address %� ' 1�� <e ,'ri �" 1�'i}� License# Ryc- �� (' LECTRICIAV w�� Ec�,,.'' COMPANY G4'r� i��7, �'3 ,�lee 7'f°a SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address 6�'�? �d��t �C°� .�? License# �i+ v 'LUMBER ��k' ` _ _ COMPANY 31GNATURE REGISTERED Y/ N FEE CURRENT Y(N �^ ! Address X'` ,=fir Atli ra*a License# w , G /'� JIECHANICAL �t ,I T ----- COMPANY F' 6�f�KPG�if��` 31GNATURE A � REGISTERED - Y N FEE CURREN Y/N Address �� ,,.. �� "� �a"at ^rsrt� 1` ,j, License# � ` )THER -�- :.-z COMPANY UGNATURE REGISTERED Y/ N FEE CURREN Y/N Address rf �! /� ,R- 7; � License# c,a___^ y. ➢ I ➢ f1t111' tiiilltl � [ tttlltlliiitlllllllilltll ➢ Iiii1 ➢ ➢ I111 ➢ ➢ 1 ➢ 1 ➢ 11 ➢ ➢ t IESIDENTIAL Attach(2) Plot Piar,c:; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)v.urking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/SlIt.Fence installed, Sanitary Facilities F, 1 dumpster;Site Work*Permit for subdivisions/large projects :OMMERCIAL Attach (2)completf Sets of Building Plans plus a Life Safety Page; (1)set of Energy Forms, R-O-W Permit for new-construction. Minimum ten (10)% arking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance ;IGN PERMIT Attach (2)sets of E.-rgineered Plans. *,* PROPERTY•Sl.:RVEY required for all NEW construction. b-b...lAl-b.➢-d-3-6•�-4-1-A-1--➢-1-ai.�=-i.�„-1.w-1-f-�4-➢�I--0-8..6.-a-�I-.tL-➢-a-➢..-0--i-➢.-�--A-➢--➢-14-➢.-6-d..➢..6..btib.y9--1�➢.-L�.a➢eO..A..P�.➢�6�➢-tl-@-d.-6.'�. Iirections: Fill out application completely. Owner 4 Contractor sign back of.l)placation,notarized If over$2500,a Notice of Comn.uncement is required. (A/C upgrades over$7500) Agent(for the'contractor)or Pow(,,of Attorney(for the owner)would be someone with notarized letter from owner authorizing same 1VER THE COUNTER PERMITTING (copy of contract required) - eroofs if shingles - Sewers :;ervice Upgrades A/C Fences(Plot/Survey/Footage) DrIveways-Not over Counter if on public roadways..needs ROW