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City of Zephythills Permit Application Fox-e13-780-0021 <br /> Building Department <br /> . . <br /> Phone Contact for Permitting I I <br /> Owner Phone Number <br /> Owner'sAddressi ip co 33 Owner Phone Number <br /> Tee Simple Titleholder Name 'S rl NUL Owner Phone Number F_ <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS D1 Z -S+-P_Ly-V �,e LOT# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR . ADD/ALT SIGN DEMOLISH <br /> E!� INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK reSie4FrC(__ <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT ' <br /> �—��U�DU�� <br /> �—� VALUATION OFTOTAL CONSTRUCTION�—��L�{�7�cAL A�P8EF0/�E �--1 PROGRESS ENERGY �—� YKF�Ez� <br /> ___ <br /> [--�PLUWBU�� <br /> �_� <br /> - ' <br /> �--��ECHAmk�� MECHANICAL <br /> --- <br /> =oAS ��J' ROOFING �—1 aPEC\A,LTY F-7 OTHER <br /> FINISHED FLOOR ELEVATIONS "�3. 2 6= FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE nsomrenEo L��_�_� 'E=`"""=^ LY/N_� <br /> Address License# <br /> . . <br /> ELECTRICIAN COMPANY <br /> SIGNATURE neaISTsneo LY _N_ psscunxs^ LY-7�_� <br /> Address Ucanse# <br /> IS- <br /> PLUMBER COMPANY <br /> SIGNATURE asm/orsmso LY/ �� �pssounesx LY/NLI ~° <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED ^ L��_Ll�_| rEscunnEx [Ly_/NLJ <br /> Address � License# <br /> OTHER <br /> SIGNATURE REGISTERED Y/_N_\ FEsou«ns^ L_I /N �§ <br /> Address Unonoo# <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(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach p4 complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R'o-N/Permit for new construction. <br /> Minimum ten(1O}working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence'installed, <br /> Sanitary Facilities&1 clumoster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets uf Engineered Plans. <br /> ~°°°PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back nf application,notarized <br /> |f over*2oon.a Notice c*Commencement isrequired. (AIC upgrades over$75uV) <br /> � Agent(foxthecnntraotor)orPoverofAMorne�(forbheovnar)wuu|dbeaomoonovMUnnotadznd|etter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Ramofsifshingles Sewers Service Upgrades 8K} Fonoeo(P\o*5umey/Foobgo) , ` <br /> / <br /> Driveways-Not over Counter ifon public madvnays..nnedmROW � <br /> ' . <br /> .^ <br /> ' <br />