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6f# <br /> a1�7tluu�zir City ofZeptiyrhilis FermifApplication Fax-813=7e0-0021 <br /> Building Department <br /> Date Receives 81 3 8 7 5=6 6 0 4 <br /> Phone Contact for Permitting <br /> aaaaaaca sass■ <br /> Owners Name Owner Phone Number <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS FiA29 TENTH ST. ZEPHYRHILLS 33542 LOT# -Q <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN -_ Q DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE = SFR 0 Comm = OTHER OUT <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL <br /> DESCRIPTION OF WORK <br /> REPLACING PACKAGE UNIT AND DUCTWORK <br /> BUILDING SIZE SO FOOTAGE= HEIGHT F <br /> =BUIL"DING, $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> ®MECHANICAL $7 r 0 0 0 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL Co ANv ' NI AIR CONDITIO G, INC. <br /> SIGNATURE c.-— - _ _ - R ISTERED Y/N FEE CURREN I Y/N <br /> Address License# I CAr.O 1 6 n n- <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> tt[[[H[l[!It[■t[t8t[![li![[lttt■t[t[lttf!!!tt[[!![t[1![!![t[t![ttltl <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,Stonmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsliarge 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$2500,a Notice of Commencement Is required.(AIC upgrades over$7500) <br /> •• Agenf(fortheconUactor)orPOwerofAttomey-(fortheowne6wouldbe-someonewlthnotarizedletterfram-owner-a thorizingsame- <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 madways..needs ROW <br />