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------ uty of Zephwhills Permit I pplication Fax 813-780-0021 <br /> Building Department <br /> Date Received disto eauch ai rW_(V9V-korf1N <br /> Phone Contact for Permitting ( <br /> 1 111111 Kill <br /> Owner's Name 7� C 0 ner Phone Number <br /> Owner's Addressl 17-(a o-�_. C C o M D!r <br /> affion 33� 3�- 01 ner Phone Number <br /> 'Fee Simple Titleholder Name -s-n my— 0 ner Phone Number <br /> Fee Simple Titleholder Address F <br /> z <br /> JOB ADDRESS atA Sq LOT# <br /> SUBDIVISION F-31 PARCEL ID# 6 6b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> E� INSTALL El REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION F-17/ BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK alsiArx_� cd L a-Bo <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING VALUATION OF TOTAL CON TRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING i$ TR, U <br /> =MECHANICAL $ VALUATION OF MECHANICA INSTALLATION <br /> =GAS ROOFING SPECIALTY THER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . <br /> BUILDER COMPANY C <br /> SIGNATURE J REGISTERED Y 1 N FE1#-CURREt Yj�N <br /> Address (40?— MCI :1)10- J License# Fc7tco'sn�:z <br /> ELECTRICIAN e-00 > COMPANY <br /> +_CQrAq1 Eler C <br /> SIGNATURE REGISTERED YIN FE_ECORREN LIZ N <br /> Address -S,-kej- 2 7.:?-1 License# F-E—c-i-:� 0 63-1 IS- <br /> PLUMBER PCOMPANY <br /> SIGNATURE REGISTERED FEE CURktN L Y/.N I <br /> Address b, Riw 7ZINDa 33GI 7- License# E <br /> MECHANICAL COMPANY Pr041'V55*oJ'e_ A-re <br /> SIGNATURE REGISTERED FEE CURREN -t��/N <br /> Address 5_q 0 7 hon 0 �Je W 116+ ft&u 34�S-:? Ucense# I� cc <br /> OTHER te COMPANY maym a 20,0 fii-C, <br /> SIGNATURE REGISTERED FEE CURREN Y/N �J <br /> Address 6&u3 License# 1 UC J S 2,57233 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-. -W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Cons ruction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large pro ects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page-,(1)set o Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Cons uction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All c t mercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> - - - - - - - - - - - - - - - - - - - - - - - - I - - - - - - - - - - - - - - - - - - - - <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notalized letter from owner'authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage. <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />