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City of Zephy hills Permit Application Fax-813-780-021 <br /> Building Department <br /> Date Received Ill 13 ) Woq- 56i3 <br /> phone Contia for Pemftdgtg <br /> Cor_i_ _Z <br /> Owner's Name t 0.Ph.Number m b er FW 85]1 <br /> ff5-1? Ar-t�r Owner's Address mg owner Phone Number <br /> Fee Simple Titleholder Name i Owner Phone Number <br /> Fee Simple redchoWer Address F- <br /> JOB ADDRESS Vd LOT# <br /> SUBDIVISION PARCEL 10#111—A 6 00 10 J W5706 6030 ] <br /> (OBTAINED FROM PROPERIYTAX NOTICE) <br /> WORK PROPOSED NEw cc)NmR ADDIALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION r7 BLOCKry Q FRAMEQ STEEL <br /> DESCRIPTION OF WORK F3-(?TT-a <br /> BUILDING SIZE SQ FOOTAGE F" HEIGHT 17= <br /> . . . . . . . . . . . . . . . . . . . . . . . . . r9r"rvlr"rw <br /> ffIBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL is AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> 14. <br /> =FLUMBING 1$ <br /> ='MECHANICAL VALUATION OF MECHANICAL INSTALLATION 166-3,576 <br /> XCAS ROOFING SPECIALTY = OTHER <br /> FINISHED rvLOOR ELEVATIONS FLOOD! ZONE AREA =YES EO) <br /> . . . . . . . . . . . . . <br /> BUILDER COMPANY rl <br /> SIGNATURr REGISTERED I Yl N FEE CURREN _N <br /> Address License#r <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEECURREK YIN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE <br /> REGISTERED I YIN FEE CURRM <br /> Address Lice #[ <br /> MECHANICAL COMPANY <br /> SIGNATUP REGISTERED I YIN ME CURREN L2LN J <br /> Address License#I <br /> OTHER S"Xla &4011, COMPANY rsPrO 4 n le C --rl <br /> SIGNATURP. REGISTERED I Y/ N FEE CURREf, I Y/N <br /> Addressziqq 2,0,1.1 License#1 61201'71,5�7 <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 wl Sift Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of SLfilding Plans plus'a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimumten(10)working days after rubmiftl data. Required onaftq,Construction Plans,Stormwater Plana w/Out Fence installed <br /> Sanitary Facilities&I dumpster.Site Work Permit for all now projects.All commerGal requirements Must Meet COMP'lanCe <br /> SIGN PER19,11T Attach(2)sets of Engineered Plans, f <br /> PROPERTY SURVEY required for all NEW construction. <br /> Directi4-6-61 & unmmWnu.5 . . ffNxl! l64 - N & zvvvAv4 . . . . . . . . . . <br /> Fill OU:application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If Over WOO,a Notice Of Commencement Is required. (A/C upgrades over$TWO) <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 /> Rercefs if snin6les Sewers Service Upgrades A/C ; <br /> Fences(PlottSurveylFootege) <br /> Driveways-Not over counter it on public roadways..needs ROW <br /> n <br />