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N`� /:1/ l-'I�� /``7 n.". ZEPHYRHILLS BUILDING FAY No. _ ?21 P.001 813 - 78O - 0020 City of Zephyrhi)ls Permit Application Fax- 813aeo -aozl r Building Department 1, • Date Receive. . Phone Contact for Permitting Owners Name C/ W % Lu.''44 µ' Owner Phone Number 2c2— • S ' Owners Address .? 7 J 3 6 it- [� k= 94 — A ,J. Owner Phone Numbei I • . Fee Slmpla Titleholder Name( 1 Owner Phone Number 1 Fee Simple Titleholder Address . I • - , - ,` • JOB ADDRESS L3 7,1 3 6 >U c Li -/L o '1 1 M9 L'—D - 7_,C iffri=Y/k/Zit, I • LOT ;II 1 • . SUBOIYISION 1 - PARCEL iD #I ! • • (OBTAINED) FROM PROPERTY TAX NOTICE) WORK PROPOSED ` J NEW CONSTR F A ADD /ALT L] SIGN Q MOVE Ti DEMOLISH_ (� INSTALL REPAIR PROPOSED USE SFR ' 1 1 • COMM n OTItER 1 1 • TYPE OF CONSTRUCTION i II BLOCK � FRAME ' , n r S } TEEL I / 1 OTHER! c 1 DESCRIPTION OF WORK 'I ..11-14';'' r'II *t. r-17/14 r-17/14 � g /_ r^! i4 3� / d A. f/1-7 UJt ,. ) c/ . $ - .5crL' / '- LA.,' ' BUILDING SIZE I 1 SQ FOOTAGE HEIGHT L ,, • L 1 n BUILDING f$ VALUATION OF TOTAL CONSTRUCTION 1 1 ELECTRICAL $ I AMP SERVICE [ PROGRESS ENERGY n1 W.R.E.C • Q PLUMB is 1 • 11 . MECHANICAL $ S l d CJ;J I VALUATION OF MECHANICAL INSTALLATION • • J • GAS 1 1 ROOFING - n SPECIALTY n OTHER . • FINISHED FLOOR ELEVATIONS ' FLOOD ZONE AREA =YES =NO BUILDER COMPANY I • SIGNATURE - REGISTEREA 1 Y/ N l FEE CURRENT 1 Y/ N 1 Address --1 . License I/ F 1 ELECTRICIAN • ' • ' COMPANY I SIGNATURE REGISTERED 1 Y ! N 1 rEE CURRENT ' 1 Y! N J • ' Address 1 - Ucense # I • . PLUMBER COMPANY SIGNATURE - REGISTERED 1 YIN 1 FEE CURRENT .1 Y/N 1 , Address I • - - .. ' I License 1 I MECHANICAL )/ _ j i,,,,yk......_ - COMPANY Sj' y '� 6 �' . f �� +r� r' ` 1"` /'""t -m" -( SIGNATURE' . REG S11tREO L - Y / N l FEE CIRPENT l Y / N l . Address I . _J License# • I e e )2-v f fr / Z OTHER COMPANY I I SIGNATURE • • ' REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 Address I License # • RESIDENTIAL . Attach (2) Plot Plans; (2) sets Of Building Plana; (1) set gi Energy Forme: R -O-W Permit for new ewconstnrct)on, Minimum ten (10) working days after submittal date. Required ensile, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilites_d 1 dumpster; Site Work Permit for subdivisions/large proJecls • COMMERCIAL .. Attach (3) complete sets of Building Piene plus a UM Safety Page; (1) set of Energy Forms. R-O-W Permit tor new construction. Minimum ten (10) working days after submittal date. Required ensile, Construction Plans, Stormwater Plans w/ Silt Fence Installed, Sanitary Facilities S 1 durnpeter. Site Work Permit for all new projects. All Commercial requtrenients must meat compliance SION PERMIT Attach (2) sets of Engineered Plans. • ' ""PROPERTY SURVEY required for all NEW construction. • Directions: , -ttsitt tittt+H- H-HftM Fill out application completely. Chimer & Contractor sigh beck of application, notarized If over $2500, a Notice of Commencement (e required. (A/C upgrades over $3000) - Agent (for tie contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same • -OVER THE COUNTER PERMITTING (Front of Application Only) . . _ Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) • • oriyewaya -Not over Counter If on public raadways,.needs ROW •