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City of Zephyrbills Permit Application Fax-813-780-W21 <br /> Budding Department <br /> Data Received i 3 Phone Contact for Permitting <br /> a <br /> Ownoes Name Owner Phone Nu mber <br /> Owner's Address f Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Fee Simple Tiffetioldir Address <br /> JOB ADDRESS k A LOT?! <br /> SUBDIVISION �- te�G <br /> %RCELfD#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADD/ALT = SIGN r7 M DEMOLISH <br /> I <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Gl cywkii F-7 C—r-n <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT HEIGHT <br /> BUILDING V4LUATI ON OF TOTAL CONSTRUCTION <br /> =iELF-armCAL AMP SERVICE PROGRESS ENERGY W.RE.C. <br /> SING <br /> lop-,PLUMBING <br /> SORM-�_�o <br /> %C�F -,A <br /> r7MECHAN16L is VALLIATION OF MECHANICAL INSTALLATION <br /> =GAS r7 ROOFING M SPECIALTY VJ OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> . . . . . . . . . . . . . . . . <br /> But,C an <br /> COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN I Y/N <br /> Addross 4, Llcense# <br /> ELECTRICIAN <br /> COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURREN <br /> Address License# <br /> PLUMOER COMPANY C <br /> SIGNATURE ---I=VVN..J'4 FEE CURREN.-'LY/N <br /> Address License#F <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address License Is <br /> OTHER s. COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN YIN' <br /> Address License 0 F <br /> ReSIDENTIAL Anson.(l)Plot Plans;(;d)sets or uudoing Plans,(1)set of t:nergy I-orms;M4.)-vv Permit tor new construction, <br /> Minlm4m ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans W Sit Fence installed, <br /> Sanitdry Facilities&I dumpster,Site Work Permit for subdivsionsfiarge 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 now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,0onstruccon Plans,Stormwater Plans wif Sift Fence installed, <br /> Santaiy Facilities&1 cumpstar.Site Work Permit for all now Pmjeets-All commercial requirements must meet compliance <br /> SIGN PERMIT Aftach' <br /> (2)sets of Engineered Plans. <br /> —PROPERTY SURVEY requited for all NEW construction, <br /> . . . ... . . . . . <br /> DiTectlons: <br /> Pid Out 3p;1!=`;Cn=mi:datal'. <br /> Omer&Contractor Sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AID upgrades over$?SOO) <br /> Agent(for the contractor)or Power of Allorney(for the owner)would be someone with notarized letter from Omer authorizing same <br /> I <br /> OVER THE COUNTER PERMITTING <br /> RMITTING (copy of contract required) <br /> Rerools,11 shingles Sewers Service Upgrades AtC Fences(PlotifSurvey/Footaga) <br /> t <br /> Driveways-Not over Counter If on public roadways-needs,ROW <br />