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813-780-0020 City of Zephyrhillss-Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for.Permitting — <br /> Owner's Name C C:o�'r CL1 h a-- Owner Phone Number $13 — '�3 2Z C <br /> Owner's Address 3 , t k LM6 N 'PIP,. Owner Phone Number- <br /> Fee Simple Titleholder Name Owner-Phone Number- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 33 �"fit!ni N" lr LOT# <br /> SUBDIVISION t'1W e r� `VI',Y PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK.PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> B INSTALL B REPAIR <br /> PROPOSED USE = SFR „Q Comm = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK r VL u-,C L 1 ��C' Cat-. 5-R-,kk Ll��• �Z <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> =BUILDING $ a �S O U VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E:C_ <br /> =PLUMBING $ Ll�j <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ss <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED`FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 'Y/ N -' FEE'CURREN _1 Y/.N <br /> Address �5� �� License# 1 -7y 5 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE' REGISTERED- Y/ N FEE C.URREN LX1 N <br /> Address License# <br /> PLUMBER COMPANY <br /> `$IGNATURE REGISTERED Y/'N' FEE CURREN Y/N' .. <br /> Address License#' <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/.'N FEE CURREA <br /> Address License# ' <br /> -OTHER COMPANY, . <br /> SIGNATURE REGISTERED Y/ N.:, FEE.CURREN <br /> Address License#. <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;-R-O-W,Permit for new;construction; . - <br /> Minimurri'ten(10)working days after submittal,date:.Requirdd onsite;Coi'sMuction"Plans;Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionstlarge projects <br /> COMMERCIAL Attach(2)complete.sets of Building Plans plus-a Life,Safety_Page;.,(.1)set of Energy Forms.R-07W Permit for new construction. <br /> Minimum ten'(10)working days after-submittal-date: Required onsite,Construction Plans,?StormwaterPlanswW/:Silt Fence-installed, <br /> Sanitary.Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements mustmeet compliance <br /> SIGN PERMIT Attach(2)sets of.Engineered,Plans. <br /> ""PROPERTY SURVEY=required for all'NEW construction. <br /> f)irections: <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 /> •` 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 /> Reroofs if shingles Sewers Service Upgrades A/C, Fences(Plot(Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />