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-1 UV-VW4V City of Ze' phyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> I F 1PhoneContact'for Permitting <br /> Owner's Name' Owner Phone Number 9L 9, <br /> Owner's Address lu'ot_ 1CAMM 7Dr�Mpj 3S Owner Phone Number <br /> Fee Simple Titleholder NameQ Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS T>k-0,04 &Qk_-bxi�je, rh i 1.1 z�. R -S­5!�yo I LOT# I Tid <br /> SUBDIVISION om-ki-�; _'�ARC� -Z]-6)y 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/A'LT 0 SIGN DEMOLISH <br /> Ei INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM'r OTHER <br /> TYPE OF CONSTRUCTION E:2— BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK F <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 66 AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> LA <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS F71 ROOFING SPECIALTY OTHER <br /> FI IS.HED FLOOR ELEVATIONS 0 FLOOD i ZONE AREA DYES NO <br /> . . . . . . . . . . . . . . . . .- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> BUIL�)ER -3 1 <br /> SIGNATURE COMPANY REGISTERED Y/ N J' FEE CURREI LY/N <br /> P,Iddress License# <br /> =_LECTR],CIAN COMPANY <br /> BIGN.-',TURE EGISTERED _Y/ N I FEE CURREN I YJ N <br /> At.'�,dress 21n,,u 36;" 3 License# C o bs <br /> 3LUMBER COMPANY 1\U M It� 5 <br /> SIGNATURE REGISTERED Y I N 'FEEtURREN L_11 N_J <br /> Address S4-2 /Om License# I <br /> VIECHANICAL COMPANY sus <br /> kjNL <br /> SIGNATURE REGISTERED FEE CURREN\J I Y/N <br /> Address 1-5710 D>:SVe_, 4- Kkt"-)M ei'-6w 3QL,53 License# I C A- U 33 <br /> )THER <br /> COMPANY <br /> SIGNATURE REGISTERED Y1 N I FEE CURREN Y/N -1 <br /> Address ;q License# I-CC <br /> I I I I I I III III <br /> ZESIDENTIAL 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&I dumpster;Site Work Permit for subdivisions/large projects <br /> 'OMMERCIAL Attach(2)Complete sets of Building Plans plus a Life Safety Page-,(1)set of Energy <br /> Forms 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 /> IIGN PERMIT Attach(2)sets of Engineered Plitris. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> . ... . . . . . . . ... . . ... -1 N V V I N N 9 V V 9 9 1 9 9 9 V y V 9 2 1 V . . . . <br /> ftections: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500), <br /> k <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone With notarized letter from owner authorizing same <br /> )VER THE COUNTER PERMITTING (copy of contract required) <br /> I.ero6fs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />