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813-7s0-0020 City of Z6phyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received o Phone Contact for Permitting <br /> �fltl8@G1E� - - 8 3tti9 a / - <br /> Owner's Nameisp Y wince phone Number (� —Q 6 p'-V <br /> i <br /> Owner's Address Q ✓ I ab Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �V <br /> Fee Simple Titleholder Address e <br /> JOB ADDRESS 63 3 5 Y�4�L / nn LOT#�,l'/n� <br /> SUBDIVISION PARCEL ID# I 6-21- G01 V-016 00"Dp(lO. <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT [� SIGN �] [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1­_V� SFR COMM OTHER 01i nYf 1 <br /> TYPE OF CONSTRUCTION BLOCK PP.AME STEEL = <br /> DESCRIPTION OF WORK ljvzavo <br /> BUILDING SIZE o X3v $Q FOOTAGE 6b�o HEIQHT I (J r C <br /> =BUILDING S G^T/%) `I VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ v /OV AMP SERVICE V Tad 20 PROGRESS ENERGY Q W.R.E.C. � <br /> =PLUMBING gjV'1 f •,� _i .1 <br /> KKJJ T <br /> =MECHANICAL ffi VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER v�,� � Ll`�VW,` <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [—]YES <br /> SIILDCR E aQ COMPANY �E c <br /> GNA UR, l/ RE�ISTERE� Y!N E URReN Y A N <br /> Addross �nt license# O <br /> ELECTRICIAN (� COMPANY +� r ( �r <br /> SIGNATURE l/ REGISTERED Y/N FEE CURREN /N �t n \ <br /> Address C(c3-1ZV License# EC'P3OO6�j�C� I p/Lj <br /> PLUMBER (/JJJi /r7/j s COMPANY C✓Id� ©���7G���o,'..�`�JL� <br /> SIGNATURE �n "/�(���'°�L- REGISTERED I Y/N FEF CURREN Y/N <br /> Address XRe 7 S / Gli/ 57 7nm.G License# CSC-j am 6 31 <br /> MECHANICAL ff �( COMPANY r0Y e� e K r�' W A/� n�0� law <br /> SIGNATURE �7 t_ REGISTERED Y/N FEN CURREN �^ Y/pN n'a A� �I <br /> Address 7 ;2- l�cJ �{ C4ukLQ bnc4 .5�� License# ��t—t3 t-`p 1 ?j I <br /> OTHER COMPANY <br /> SIGNATURE F. REGSTERED 1 YIN FEE CURREN Y/N <br /> Address =' License# <br /> 3.E EaaeCaase.E.aa9'Y92.23.Z26.2u'd.®'aA1 <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/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for'subdlvisionsAarge projects <br /> COMMERCIAL Attach(2)complota 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 constfUction. <br /> �S�£tfir$�-�eeG----------�-"'"'c---s-Y�,t9�►rra-fi�T�.'" �rs-'�r.Y/r4-�.v�-=-'='"a-�a^'gi-&•i'r�=_ •ar6r53.r'? <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notgdzed <br /> If over$2500,a Notice of Commencement is roquired.(A1C upgrades over$7500) <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 eontract required) <br /> Reroofs if shingles Servers $t rvice Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways,.needs ROW <br />