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'I31'3-760-0020"" City d-Zeiphyrhills' Per'mit'`Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin <br /> a s 1,E E E all. <br /> Owner's.Name Owner Phone Numbe['..., p. �� ,j�a'`' <br /> Owner's Address n(t f b2: Owner Phone Number <br /> Z <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple-Titleholder Address - <br /> JOB ADDRESS (J.fz a 'Z LOT#,_ <br /> SUBDIVISION ' PARCEL ID# -a o QQ _ <br /> y ', r•.; :- ,: - (OBTAINED,FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED.'-- NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> INSTALL' e "REPAIR' <br /> PROPOSED USE, ;; :., SFR., a COMM .. • _ ,, •.OTHER:; ; <br /> 3 <br /> TYPE OF CONSTRUCTION BLbCK' 0,...' FRAME' �� STEEL. 0 L <br /> DESCRIPTION OF WORK 1!c• �'. J1_ j-� !. R o <br /> ...ir,,•.. <br /> BUILDING'SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL,•..; $. MPiSERVICE,", :PROGRESS ENERGY:' , W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL iNSTALLATION <br /> =GAS; ;: ROOFING._ .0 SPECIALTY. ; OTHER <br /> ' . . <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES _NO-' : <br /> BUILDER, .„ COMPANY <br /> SIGNATURE; REGISTERED J. Y./N r FEE CURREN: Y/.N:_. •• �_ <br /> Address 3 1 if License# <br /> ELECTRICIAN`;. .•.::. : .: "COMPANY <br /> SIGNATURE''':' REGISTERED" I Yy'N FEE CURREN Y/N' <br /> Address. - , License.# <br /> : . <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED _Y/N FEE CURREN LY/.N- <br /> License <br /> .Andress <br /> # ' <br /> MECHANICAL COMPANY <br /> SIGNATURE ;, REGISTERED- Y/N FEE CURREN <br /> Address _ . License# <br /> OTHER COMPANY. <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address ; <br /> ,�. . ,License# <br /> iiiiiii.iii fill iiii.iiiii 1 filial 'gill le.g`,jlti.ffIaalIEfElEI f111.111a # i111l11Elf <br /> RESIDENTIAL Attach(2)Plot Plans;(2)-sets-of Building Plans;(1)'set'of Energy Forms;R-O=W Permit for new construction,- ' <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> -Sanitary Facilities&1 dumpster,'Site Work-Permit for subdivisions/large projects _ <br /> COMMERCIAL 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)working 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 /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement Is required.(A/C upgrades over$7600) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized 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 />