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813-780-0020 city of Zephythills Permit APPlicatiOn Fax-U`13-fcu — <br /> Builcling Department <br /> Date Receleed phone Contact for Permitting ( ,13 ) <br /> -T-r-r-F-Ir . I 'iFll - <br /> Owner Phone Number <br /> owners Name <br /> . * tnu6-Av Owner Phone Number r <br /> ownees Address <br /> Fee Simple Titleholder Name owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS -Avej LOT 11 <br /> SUBDIVISION PARCEL 10#1va`AU-A 1-00 10-019 0 0-OU50 <br /> (DirrAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> R INSTALL E� REPAIR <br /> PROPOSED USE = SFR COMM OTHER <br /> TYPE OF CONSTRUCTION M BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE _7 SQ FOOTAGE HEIGHT <br /> . . . . . . . . . . . <br /> ffBUILDING.. . . . .1$ . . . . . . . . . . . .VALUATION.OF TOTAL CONSTRUCTION <br /> =ELECTRICAL is AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =F-WMBING 1$ <br /> MECHANICAL 1$5 j95L—.GJ VALUATION OF MECHANICAL INSTALLATION 1,ko"7 <br /> =C',4s ROOFING SPECIALTY = OTHER <br /> FINISHED rLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> -&4-i�+i . . . . . . . . . . . . . . .. <br /> BUILDER COMPANY = <br /> SIGNATURE.- REGISTERED I YIN FEE CURREN LXLN J <br /> Address License <br /> LECTRICOh COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURREI, I YIN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREI% <br /> Address License <br /> MECHANICAL COMPANY <br /> SIGNATU1t.-- REGISTERED I Y/ N FEE CURREN I Y[N <br /> Address 14441 Pvt LPYS Ed Qd� License#10-ft0hQ37qx <br /> OTHER COMPANY = I <br /> SIGNATURE F REGISTERED I Y/N FEE CURREI, L�—N <br /> Addrel;s' License# <br /> RESIDENTIAL. Attach(2)PM 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 onsfte,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsfiarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life safety page,*(1)set of Energy Forms.R-O-W Permit for new comftuction. <br /> 'Minimum ten(10)woddn9 days after wbmftfaI data. Required ansite.constructon Plans,Stormwater Plans wl Sift Fence Installed, <br /> Sanitary Facilities 81 ddmpster.Site Work Permit for all now projects.All commercial.requirements must meet compliance <br /> SIGN PERs%,Trr 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 MOO,a Notice of Commencement Is required. (AIC upgrades over$750) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUINM PERMITTING, - -(cow of contract required) <br /> Remols if sningles Sawers, '6ervf6ii Upgrades A/C Fences,(Pipt/Survey/Footage) <br /> "t:e �`�' <br /> Driveways-Not over Counter if on public roadwa <br /> YS.,."S ROW <br />