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M' V4GV City of Zephyehills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting - <br /> -T I-I-C-i-ITr- {� <br /> Owner's Name ;» t. Owner Phone Number �� : J <br /> Owner's Address 4-59Owner Phone Number <br /> Fee Simple Titleholder Name �- r Y�• Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESSCj_ U'�ri 6GrA LOT# 2 <br /> SUBDIVISION PARCEL ID# � r� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED EJ" NEW CONSTR 8ADD/ALT 0 SiGN 0 DEMOLISH <br /> IN STALL REPAIR <br /> PROPOSED USE F_9_ SFR COMM OTHER <br /> TYPE OF CONSTRUCTION . �/` BLOCK FRAME ] STEEL 0 <br /> DESCRIPTION OF WORK � J 4 t � '3`a� �,�C to cs <br /> BUILDING SiZE SQ FOOTAGE - W7_r HEIGHTr'�-r>r-rr"�"r"r'>:-s-'rt-t-r-r'r�t�rrr�r-R-ra-r^r-r'rc-t- <br /> =BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $, a�® AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ lit <br /> i <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING [� SPECIALTY I^� OTHER <br /> FINISHED FLOOR ELEVATIONS U FLOOD ZONE AREA [ YES NO <br /> •4-�E-1-4-4-1-6--6--t--i-'i-1•-C-C-1''--C-i`-➢-C-i-C--i-&l C-:-C--C-�i-:-Fif-i-i-:�-�-'�-:-:-�fr=e-➢-C-*-:-3-i--8-6-6�c-8 u.-$-1-�:-.)�'P.'�-"�7-4-i-•i-�- <br /> BUILDER fC ..�.�-=-'� COMPANY <br /> BiGNATURE REGISTERED Y( N FEE CURREIt Y/N <br /> Address %coC�vJ /-c�/r%o License# <br /> =L ECTRiCIAN Cl-/3,�, , ,/'� -•- COMPANY <br /> 31ONATURE 1 REGISTERED Y/ N FEE CURREN Y/N <br /> Address ' 'f �4 k� License# 1 ar � <br /> 'LUMBER COMPANY <br /> 31GNATuRE REGISTERED Y/ N FEE CURREN Y/N <br /> Address � .. rrt r �J41-O CIE License# a re 0 V/-2�� r` . <br /> AECHANiCAL COMPANY <br /> 3IGNAI°URE f,�` .. '""�'''" ^^~ - ----REGISTERED I Y/( N FEE CURREN Y/N <br /> AddressG1 �►�Eo fi��a•� "cac.tli ' )(` License# <br /> )THER �~ _ COMPANY <br /> iiGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address ��-_ � y'rr 1 License# F i <br /> I11111111ti1111i1tliIillltiiliiltiiliiilitiliiillillllllliili11111 <br /> IESIDENTIAL Attach(2)Plot Piar•;; (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 F� 1 dumpster;Site Work*Permit for subdivisions/large projects <br /> ,OMMERCiAL Attach (2)compiett 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)t )rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities G 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 /> V**PROPERTY'SI!,RVEY required for all NEW construction. <br /> I-.1-.E-f-A..6...i..i...i...4.i...1--1--I-M-#.:bs:.•..F..6..1-.1G-1-S-f-I�t-1.-8...1.-i..i�i-k 7-i..B..i�6...b-I-t�-E-i-�•.eel-•i..�-•�•�-> ..6�.-�@�B-4..Ovb..�.�..a.. <br /> lirections: <br /> Fill out application completely. <br /> Owner� Contractor sign back of.;)placation,notarized <br /> If over$2500,a Notice of Comwimcemerit 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 /> 1VER 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 />