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% <br /> 813-780-0020 City of Zephythills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date!Received <br /> Phone contact for Permitting <br /> Owner's Name owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee simple rateholder Name owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS i'FlAi61-A Z-1-714116 LOT# <br /> SUBDIVISION 81-n—owwld /10/A/11 PARCEL ID#1 42�(A� a2/Pd5Z9 "W 19-40 <br /> (OBTAINED RtOWI PROPERTYTAX NOTIC51 <br /> WORK PROPOSED NEW CDNSTR ADDIALT SIGN DEMOLISH <br /> P INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK bg d"'06 16. <br /> If ' 11 <br /> BUILDING SIZE SO FOOTAGE HEIGHT-I <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .BUILDING Is VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =FLUMBING 1$ <br /> =iV,ECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> �4S = ROOFING r7 SPECIALTY = OTHER <br /> FINISHED wLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURA, REGISTERED I YIN FEE CURREN L_XLN_j <br /> Address —7 License# <br /> ELECTR1Ci.AN COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N I <br /> Address License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED I Y1 N FEE CURREN <br /> Address License#r <br /> MECHANICAL COMPANY <br /> SIGNATUP REGISTERED I Y/N FEE CURREN LXLN J <br /> Address uoeAse#F— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN I Y/N <br /> Addre-is PazIJ License#I <br /> RESIDENT:AL Attach(2)Plot Plans;(2)sets of Building Plans,(1)set of Energy Forms;R-O-W Permit for new construction. <br /> Minimum ten 0 0)working days after Submittal date. Required onsite,Construction Plans,Storrnwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for subdivisions/large pmiects <br /> COMMERCIAL. Attach(2)Complete Sets of Building Plans plus a Life safety page;(1)set of Energy Forms.R-0-W Permit for new construction. <br /> Minimum ten(10)worldrig days after SUbMftl date. Required onsite,Construction Plans,Stormwater Plans w]Sur Fence Installed, <br /> Sanitary Facilities&I clumpster.SRO Work Permit for all now 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 /> . . . . . . . . . . . . . . . . . . <br /> tk=. <br /> Fill ou application completely. <br /> Owner&Contractor sign back of application,notarized p <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over 57500) <br /> Agent%for the contractor)or Power or AttOmGY(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remcft-ifsninglqs- �-,,Service`Upgrades..AIC Fences(ploySurvey/Footage) <br /> ' <br /> brivev,-jys'NoVoVefdduhtei if on p6blic roadways..needs ROW <br />