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NOV /16 /2008 /SUN 02:13 PM ZEPHYRHILLS BUILDING FAX No.813- 780 - 0021 P.002 <br /> 813- 780 -0020 City of Zephyrhifis Permit Application Fax -813 -780 -0021 <br /> • Bultdtng Department C <br /> Date Received PhoneContactf•rPermittin•�_ i . • ► Q _____ <br /> Owner's Name Nr ,, /M n % _ /// Owner Phone Number ' <br /> Owner's Address I✓ / 99 / ff i ' I r 4 I'm /) 11ei onlli'l � 1 I owner Phone Number 1 • I <br /> • <br /> Fee Simple Titleholder Namef P---- I Owner Phone Number 1 I <br /> I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1t, "/ y '/ O‘ G/Q•L WLi4D- I LOT ii I <br /> • <br /> • <br /> SUBDIVISION • I 1 P ARCEL ID # I ✓� �-a�O1 / - /347 190UU1�'O 1. <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> • <br /> NEW CONSTR ] ADD /ALT F SIGN 1 [ MOVE 1 - 1 <br /> INSTALL REPAIR DEMOLISH WORK PROPOSED I I. E <br /> PROPOSED USE ( 1 SFR ' , 1 _1 • COMM 1 OTHR <br /> � STEEL 1 OTHER <br /> TYPE of CONSTRUCTION r a 4 <br /> I • BLOCK • 1 1 FRAME <br /> DESCRIPTION OF WORK •I✓� ii 12 d c gO2 - .. i t <br /> / i:ett.. cyrcr� / <br /> BUILDING SIZE 1 1 SG FOOTAGE 1 I HEIGHT 1 _ 1 <br /> • <br /> 1 1 BUILDING I$ • - 1 VALUATION OF TOTAL CONSTRUCTION <br /> • L ( ELECTRICAL IS • I AMP SERVICE 1 1 PROGRESS ENERGY w.. rl W.R.E.C. <br /> PLUMBING $ Jf1 000 1 ,J��iJJJO/�Af l g� ( <br /> [1 .MECHANICAL 1$ 1 VALUATION OF MECHANICAL INSTALLATION <br /> 1 I GAS J 1 L — ! ROOFING • 1 1 • SPECIALTY 1 ( OTHER <br /> FINISHED FLOOR ELEVATIONS [ ., FLOOD ZONE AREA YES 1 • <br /> BUILDER _ • 1 COMPANY , 1 1 I <br /> SIGNATURE REGISTERED 1_1_,‘ / N 1 FEE CURRENT Y l.N <br /> Address I 1 1 . License # 1 I • <br /> • ELECTRICIAN 1 I COMPANY <br /> SIGNATURE REGISTERED '1 Y/ N 1 . • FEE CURRENT 1 ¥/ N <br /> • AddrE$ I 1 • License # 1 q . / / <br /> PLUMBER COMPANY I �/ /4�" "zo , ", ,� �iV t` <br /> SIGNATURE �/— REGISTERED ' Y / N FEE CURRENT . i♦fEM . , <br /> Address f Li<! // i 0 /„II/mt in lrmar- <br /> MECHANICAL COMPANY ` ) <br /> SIGNATURE REG ISTERED ' ( - Y / N 1 EE CURRENT ' 1 Y / N <br /> • <br /> Address I 1 .License # ` ' <br /> OTHER 1 COMPANY. 1 <br /> SIGNATURE REGISTERED ., 1' Y 1 N 1 FEE CURRENT 1 Y/ N 1 <br /> Address l I License # I <br /> • <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Pions; (1) set of Energy Forms; R -O -W Permit for new construction, <br /> • <br /> Minlmum ten (10) working days after submittal data. - Required onslte, Construction Plans, Storrnwater Plans w/ Slit Fence installed, <br /> Sanitary Facilities & 1 dumpster•, Site Work Permit for subdivisions/large projects <br /> COMMERCIAL - Attach (3) complete sets of Building Plans plus a Life 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, Construction Plans, Stormwater Plans W/ Silt Fence Installed. <br /> Sanitary Paciiitlee & 1 dumpster. Site Work Permit for all new projects. All Commercial requirements must meet compliance <br /> SIGN RERMIT Attach (2) Beta of Engineered Plans.' <br /> i <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: • <br /> Fill out application completely. • • • <br /> Owner & Contractor sign Mick of application, notarized <br /> If over $2500, a Notice of Commencement is required, (A/C upgrades over $5000) <br /> w* 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 A/C Fences (Plot/SUrvey /Feotsee) <br /> Driveways -Not over Counter if on public roadways.:needa ROW <br /> • <br /> • <br />