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813-780-0020 City of ZephyThills Permit Application Fax-813-780-0021 <br /> Building Department TA/ V�§/0 7 <br /> We Received Phone Coated for Permuting <br /> :35 6 <br /> Owner's Name Owner Phone Number <br /> ownees-AddresSFOR owner Phone Number F- <br /> Fee Simple Titleholder Name Owner Phone Number F <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 416 ;rL 33e4a 7777�] LOT# <br /> SUBDIVISION PARCEL ID#1o5—'J&—Q'1— 01400-00no—0140 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CDNSTR ADDIALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> R E!� 1 <br /> PROPOSED USE = SFR COMM OTHER I <br /> TYPE OF CONSTRUCTION = 13LOCK FRAME STEEL <br /> DESCRIPT.ON OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> - - - - - - - . . . . . . . . . . . . . . . . . . . . ... . . . . . <br /> ffBU ILDING is VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL Is AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =FLUMBING 1$ <br /> MECHANICAL 1'553151 VALUATION OF MECHANICAL INSTALLATION <br /> ROOFING r7 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD- ZONE AREA =YES NO <br /> . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURA REGISTSRFO I YIN FEE CURREN L_X/N <br /> Address i, i License# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I YIN I FEE cuRREI, <br /> Address License#F- <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YtN FEE CURREK LXLN J <br /> Address License J <br /> q <br /> MECHANICAL COMPANY W/7.i5 aej6a S, A <br /> SIGNATUF.Z REGISTERED I YIN FELCURREh I YIN <br /> Address 4qq1A riffti zhill&my-�aql License#IMCAN997:1 <br /> OTHER COMPANY [— 7 <br /> SIGNATURE: REGISTERED I YIN FEE CURREN LILN_j <br /> Addreis' License# <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/SIR Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivislonsnarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Paso;(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 Plane w)But Fence installed, <br /> Sanitary Facilities&I dumpster.Site 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 /> Fill ov application completely. <br /> Owner&Contractor sign back of application,notarized <br /> lf over$2500,a Notice of Commencement Is required, (A/C upgrades over$750o) <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 sningles :'Sewers' �.' Service Upgrades.N plot/survey/Foo <br /> Driveways-Not over CD'uni6r'don pb6ic roitdways::neetfs ROW., <br />