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-- ---- uIty of Zephyl-hills Permit Application Fax 813-780-002-1 <br /> Building Department <br /> Date Received <br /> 7 Phone Contact for Permitting <br /> A K I I Jl I <br /> Owner's Name Ile s-V,. H-x�m Owner Phone Nu mber <br /> Owner's Address 7D!:�LDWpa iRA37--Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7F13o Imad Rex t% R ,335i� LOT# <br /> zr v ui-h i <br /> SUBDIVISION iiD(J Vk(_4�04ARCEL IDO 0 1 06ZkZ' *01(10(3 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F7 ADD/ALT SIGN DEMOLISH <br /> INSTALL F-1 REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> NJ <br /> BUILDING SIZE S' Q FOOTAGE HEIGHT <br /> ]BUILDING A . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> VALUATION OF TOTAL CONSTRUCTION'P I v 1 C)0-70 <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING' SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS C)o FLOOD ZONE AREA DYES NO <br /> 11.44-4.4- <br /> - - - - - - - <br /> BUILDER COMPANY - - - - - - - - - - - - - - <br /> nc <br /> SIGNATURE <br /> REGISTERED N,I N FEE CURRFt\ .1 Y/N <br /> Address e cm VA-A C�C4 <br /> License# I �C?,60,;9 2 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN Y/N I <br /> Address 3 License o bs <br /> PLUMBER <br /> COMPANY SIGNATURE REGISTERED i Y/ N FEEbURREN Lfl N <br /> '9 <br /> Address E(-,sit M4, S4-2 10M -46" 3 Z)f License#1 CF04Z3_ )3T <br /> COMPANY orbqre r <br /> SIGNATURE <br /> MECHANICAL REGISTERED V1'N I FtECURREKV I Y/N <br /> Address �A 12j,6-Li --wu�-3 License# I _C8 C6 33 W <br /> OTHER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE'l <br /> Address <br /> oa+&6 'm's-31 License# cc <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(1*0)working days after submittal date. Required onsite,Construction Plans,,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fdfim .R-O-W' Perm' 'It for new 'construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/§Ilt 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 construction. <br /> VVIVwxy . . . . . . . WN . . . .4.. . . . . . . . Will . . . . . . . . . . . . . . <br /> Directions: -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <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) ti <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />