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8-13-780-0020 city of Zephyrbills Permit Application Fax-813-780-W21 <br /> Building Department <br /> -------------- <br /> F <br /> ­ ]�3 <br /> Date Received Permitting N 3—ycp <br /> owner Phone Number -7 <br /> Owner's Name LI-0 of J I I <br /> ownees Address 5aa N-4-h 6+ owner Phone Number <br /> Fee simple Titleholder Name owner phone Number <br /> Fee Simple Titleholder Address F-- <br /> JOB ADDRESS I h- <br /> -- �- - i - LOT# <br /> SU13DFVISION F- PARCEL ID#rligyQbR -0010lq��0/0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW MNSTR ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL L J REPAIR <br /> PROPOSED USE = SFR = COMM OTHER —J <br /> TYPE OF CONSTRUCTION = BLOCK FRAME STEEL = <br /> DESCRIPTION OF WORK -e5,f-:-q amcou--t-"ap-tMinnn '- 'a-6-tcN , <br /> BUILDING SIZE SQ FOOTAGE HEIGHTF— —1 <br /> =BUILDING $ VALUATION OFTOTAL CONSTRUCTION <br /> =FLECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> =F-LUMBING is <br /> �tECHANICAL IsuC/5.37o VALUATION OF MECHANICAL INSTALLATION <br /> =C-,JkB ROOFING r7 SPECIALTY = OTHER <br /> FINISHED wLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURI- REGISTERED I Y/ N I FEE CURREh L_=N_j <br /> Address I License# <br /> LECTRICi.AN COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN LILN J <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE i REGISTERED I Y/ N FEE CURM LILN J <br /> Address License#F- <br /> MECHA14IC-AL COMPANY <br /> SIGNATURz- YJ N I FEE cuRREN I YIN <br /> Address VVTI Uoense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRFJ% <br /> Addreis' License#F- <br /> RESIDENT: <br /> AL 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)worldng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&I dumpster Site Work Permit for subdivislons(large projects <br /> COMMERCIAL Attach(2)complete sets of Wilding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)woridng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&I 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 construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . <br /> Directions: <br /> Fill ou: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 /> 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=1 9- .:.,(copy of contract required),-,-,- ,-% . - I �. . �' I...W%-1. 1 .�,-',".e <br /> Reroofs if sningles O"e-ii Fences(P1,ot/Surveyffiootao) <br /> Driveways-Not over Counter it on puDlic:rdadw3yS,;needs ROW., <br />