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eta-78c-000 City of Zephythiills Permit Application Fa5a8i3 78ti tiOZi <br /> e Etuilda,g Oapaltmorn ' <br /> Gata Received t Phone contact far Permitting <br /> oft Nam. ( ! t one Number <br /> Owner's NameAddre ( Owner Phone Number' <br /> 4 <br /> Fee simple Titleholder Name Ovmer Pherte r Wmb.^r <br /> i <br /> Fee simple Titleholder Address tt <br /> IFS <br /> JOB ADDRESS <br /> 1 LOT <br /> SUE MIViSION s w°,��� ��� PARCEL 100 <br /> ¢ (GETAIRED MOM PROFBRTY TAX NOTICE) <br /> WORK PROPOSED '. ® NEwCQbiStR® ADO7ALT Q BiON Q [� oeMOUsri <br /> INSTALL REPAIR <br /> PROPOSED USE < Q SFR Q ,^rtuae C 3 t1 L <br /> TYPE OF CONSTRU&ION Q BLOCK Q FRAMs Q STEEL <br /> DRSORiPTiON Of WORK CC <br /> BUILDING,SIZE SQ FOOTAOL' HEIGHT <br /> Q8UiL41NG VALUATION OF TOTAL CONSTRUCTION <br /> i <br /> QELECTRICAt ARP SERNCE Q PROGRESS ENERGY Q W.R.E.C. <br /> �- i <br /> GOOP'LUMBING t S <br /> =MECHANCAL S VALtl47 ON OF tAEgiFFtiCAI iNSTALLATiON <br /> QGAS Q ROOFING M SPECMAI.T✓ r-7 OTI-ER 10 <br /> FINISHED FLOOR ELEVAMONS FLOOO ZONE AREA =YES NO g <br /> g <br /> 6UlLDEt; } COMPANY <br /> SIGNATURE n 111 REGISTERED A Y/N FEECURREN Y N <br /> Address License# <br /> ELECTRICIAN � � COMPANY t <br /> SIGNATURE REGISTERED I YIN FEE CURREN L.Y i N <br /> Address _ _ License# t <br /> PLUMZMR COMPAN C <br /> Y <br /> SIGNATURE necWERED FEE emu RaEN`¢ YlN <br /> Addrasa �.. Ct� 7 license# <br /> MrOHMIC& COMPANY •�� <br /> SIGNATURE REGISTERED I YIN <br /> tN FEEURREN N r <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURREN LJ2 N <br /> Address i License#f i <br /> ! 1ltttltlttt ! ! ! lttttttt >Fttttitttttltttttttitttittttiittltttttiiiili <br /> RESIDENTIAL AttacnL('1)Hot Mans;v)Bets or tuning Plans:(r)set at tnetgy t-Orms;R-U-W Permit tor now construction, <br /> MnimUm ten(10)verWrig days after submittal date. Required onsite.Construction'Plans,Stormwater Plans ud Silt Fence installed, <br /> Sanitary Facilities&i dumpster,Site Work Perrrft for subdiv(sionsAarge projects <br /> COMMERCIAL Attach"(2)complete sets or Suildine Piano plus a LdO Eatery Page;(1)sat of Energy Forms.R-O-W Permit for maw construction. <br /> Minl+num ton(10)workng days after submittal date, Required onsite,Cdnstrnct011 Plans,StOrni ater Pions wl Siit Fence installed, <br /> Sanl*Facilities&1 cumpster.Site Wonr Permit for all now pmjomt All commercial requirements most meet compliance <br /> SION PERMIT Attscht(2)seta of Engineered Plans, <br /> '•"40,PERTY SURVEY required for all NEW construction. <br /> Dlreetlons: <br /> grin out application c:tnigatstir- <br /> Owner&ComTaator sign tack of appitcamon.notarized <br /> If over$2000,a Ha 6t of Commencement is required. (AID upgrades over$7600) <br /> *' Agent{or the contractor)or Pinner of Attomey(for the owner)vmuld be someone with notarized letter from owner authorizing some <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remote if shingles sewers Service Upgrades A/C Fences(PloVSurveyiFootaga) <br /> orivoways-Not over Counter 0 on public madirsys-needs ROW <br /> z <br /> f. <br /> i' <br />