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NOM /18 /2008 /TUE 03:17 PM ZEPHYRHILLS BUILDING FAX No. 813 - 780 - 0021 P.001 <br /> 813 780 City Of ZephyrhillS Permit Applicatiori Fex - 813 - 780.0021 <br /> Buiding Department • <br /> Date Received . Phone Contact for Pemtlttin . • . ® - • <br /> r .. _ . . <br /> °tenor's Name DAA) ' / j T A li.c Owner Pitons Numbsr 213 7i-3 ` 76 O L- <br /> • Owners Address I I •� 7 •I 3 C�a .G t. f, --C ritA c Owner Phone Number I 1 <br /> • <br /> , Fee Simple Titleholder Name' • • • • I Owner Phorre Number 1 <br /> • Fee Simple Titleholder Address I . • . . I <br /> • JOB ADDRESS 1 37/ 36 ee, (-Cc .xis 17?-41 L 74:/ wc,w—cCZJ• 1 Lord I • • 1 •. <br /> SUBDIVISION. • [ . • PARCEL 113#1 . • 1 <br /> • (OBTAINED FROM PROBE RTYTAX NOTICE) • • <br /> WORK pROPosED ' NEW CONSTR . ADD /ALT SIGN J LI MOVE DEMOLISH <br /> H n INSTALL . • REPAIR . <br /> PROPOSED USE . . n SFR' • . ' Q • ' COMM n OTHER I • 1 <br /> • .7yPE OF CONSTRUCTION F BLOCK . , � a .. FRAME ' • STEEL n OTHER 1 ` - <br /> DESCRIPTION OF WORK ' S; ( <br /> ' . 4 613 i' ► ,-.)e-17 r ai l , ton, N Ian• 3:0 0.,T T »74 e-m /Sr •p" 5, r:. L,r) <br /> ' BUILDING SIZE I SO FOOTAGE 1 .1 HEIGHT I 1 <br /> n BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> • = ' ELECTRICAL. I$ • . I AMP SERVICE n PROGRESS ENERGY • Q W.R.E.C. <br /> I PLUMBING is 1 . <br /> MECHANICAL $ I VALUATION of MECHANICAL INSTALLATION • <br /> I-1 GAS. ROOFING n SPECIALTY Q OTHER • • <br /> FINISHED FLOOR ELEVATIONS - _ FLOOD ZONE AREA , nYES ' QNO • ' ' <br /> BUILDER COMPANY [ <br /> . SIGNATURE . (tEGISTERED 1 Y/ N 1 sea CURRENT 1 . Y / N 1 ' • <br /> • Adkins l• 1 license # 1 1 <br /> ELECTRICIAN COMPANY l <br /> • SIGNATURE REGISTERED , • 1 Y / N I FEE CURRENT ' _ 1 YIN 1 • • Address I License # r <br /> • . PLUMBER . .COMPANY I • .. <br /> . SIGNATURE • . . • . • • REGISTERED 1 Y N 1 • FEB CURRENT . 1 Y / N <br /> , Address I 1 er- � Llceneo # <br /> MECHANICAL i n," / f ._ . COMPANY [ p G 3 - l�!1A -' 1/E-Ot / ✓ e. ,./7- • <br /> • SIGNATURE' W / - /// t' . REGISTERED 3 Y/ N 1 FCC CURRENT 1 Y / N 1 ' <br /> Address 1 ' . '- 1 .License #' I . . <br /> OTHER COMPANY 1 . ' • , . . 1 <br /> SIGNATURE REGISTERED 1' Y/ N 1 Fe cURRENT 1 Y/ N <br /> - <br /> Address I .. I License# l • . <br /> . 'RESIDENTIAL • Attach (2) Plot Plans; (2) sets'of Building Plans; (1) set of Energy Forme; R-O-W Permit for new construction, <br /> • Minimum. ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence Installed, <br /> ' Sanitary Facilities& 1 dunips(er; Slte Work Penult for subdivisions/large projects <br /> COMMERCIAL . Atlach (3) complete sets of Building Plane plus a Ufe Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, ConebuctIon Plans, Stormwater Plans w/ Silt Fence Installed, <br /> Sanitary Facilities d 1 dumoster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plana. <br /> ' . " 'PROPERTY SURVEY required for all NEW constniclon. • • <br /> Directions: <br /> FIII out application completely: <br /> Owner& Contractor sign beck of application, notarized . <br /> If over $2500, a Notice of Fommencement is required. (AIC upgrades over $5000) . <br /> Agent (for the contractor) or Power of *tom ey 'Der the owner) would be someone with notarized latter from owner authorizing same • <br /> OVER THEe COUNTER PERMITTING (Front of Application Only) <br /> . . Reroofs Sewers • Service,Upgradee A/C Fences (Plot/Survey /Footage) • .. <br /> • Drtyeways - lot over counter if on public roadways..needs ROW ' <br /> • <br />