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813-780 -0020 City of Zephythills Permit Application Fax - 813- 780-0021 <br /> � Building Department <br /> Date Received // �� �v ) y Phone Contact for Permitting - ) 2 <br /> Owner's Name j)//fI) i 1 j ( / �� - p/� 4 4 -- ( /4 Owner Phone Number 5/3 — --/gag <br /> Owner's Owner's Address 4491 I fVQL Lac 6/g, Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address Q 1 ,, //� � Me <br /> JOB ADDRESS I G i7 NOL LK/∎ - /J <br /> . R �j I LOT # h , OZ. I <br /> � SUBDIVISION """ IS &Le, PARCEL ID# O3 -a6 -.21 - 014s0 -d6660 - 01 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> — <br /> WORK PROPOSED NEW CONSTR. IMI REPAIR SIGN MOVE Q DEMOLISH <br /> INSTALL ■„7-.1 PROPOSED USE n SFR n COMM O OTHER I 1 <br /> TYPE OF CONSTRUCTION O BLOCK n FRAME O STEEL O OTHER I <br /> n <br /> DESCRIPTION OF WORK idle CJtoJ I C A, ^ , 1 o (..... 4,0,i • p `1 /eekti C <br /> BUILDING SIZE I I SO FOOTAGE I HEIGHT I I "Dzi <br /> BUILDING IS I VALUATION OF TOTAL CONSTRUCTION <br /> O ELECTRICAL $ AMP SERVICE E 1 PROGRESS ENERGY O W R.E.C. <br /> • <br /> n PLUMBING $ <br /> 9)705 <br /> X MECHANICAL $ . VALUATION OF MECHANICAL INSTALLATION <br /> n GAS O ROOFING' n SPECIALTY O OTHER <br /> (.... 1/4—,--■-----------"' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA EYES ONO <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N I <br /> Address I <br /> 1 License# I <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED I Y i N I FEE CURRENT I Y/ N I <br /> Address I <br /> 1 License # I <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N I <br /> Address I I c, ,. License ## I <br /> MECHANICAL / 2 ' COMPANY 3GI`IZa. aZ- / / C I1 In e <br /> SIGNATURE y �jLfl! <br /> ������ REGISTERED FEE CURRENT MEM <br /> I ,. [ <br /> Address / �lti:!�. ^�ri.7 /L'� . r � License# IL4/g /ski,q I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y I <br /> Address I 1 License # J J <br /> RESIDEPMAL Attach (2) Plot plans; (2) sets of Building Plans; (1) set of Energy Forms <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br /> COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br /> All commercial requirements must meet compliance. <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> i <br /> Fit 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$5000) <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 (Front of Application Only) <br /> Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />