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YU / -1 /'L /KN !;_ A', ZEPHYRHILLS BUILDING ? A. No. -7 '3 7 2 - 01221 P. 001 813 - 780.0020 City of 7__ephyrhilis Permit Applicatlori Fax- 813.780 -0021 ( to Building Department Date Received Phone Contact for Permitting • Owner's Name /Y(/ /Gtr 6 RA, ti • Owner Phone Number 7) i, er‘ 6i9 • • i t/� �i4I �� tY � Owner s Address 3 n 76 (� Owner Phone Number , Fee Simple Titleholder Name - - • 1 Owner Phone Nunilier I Fee Simple Titleholder Address P T 6 - l . 1 p JOB ADDRESS 1 , 3 1 -' - uzi c. �ti (CIF Z ' C f /+ , 0`/ 6Cc - LOT i I . • SUBDIVISION . • 1 - PARCEL ID #I - • . . ' (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSFD NEW CONSTR f ADD /ALT n SIGN n MOVE n DEMOLISH ' INSTALL . REPAIR PROPOSED USE SFR . • 1 I . COMM n OTHER I - 1 ' TYPE OF CONSTRUCTION BLOCK / / , I 1 FRAME ' El STEEL 1 - I OTHER I I y ? • • - • DESCRIPTION OF WORK ' . J li y ' p' /l P � 0 / C. ill s/c ®�c CJl 6 G 1 3 s l - `LI' 4' 'BUILDING SIZE 1 SQ FOOTAGE I HEIGHT • 1 • I BUILDING 1$ • ' VALUATION OF TOTAL CONSTRUCTION . 17 ELECTRICAL IS AMP SERVICE I I PROGRESS ENERGY - I W.R.E.C. • I-1 Pi UMBINO S I Q MECHANICAL S 'ye � - I VALUATION OF MECHANICAL INSTALLATION ED' GAS I 1 ROOFING - n SPECIALTY C] OTHER . FINISHED FLOOR ELEVATIONS . ' FLOOD ZONE AREA =YES - I • - • BUILDER COMPANY SIGNATURE - - - REGISTERED I 1 Y I N I PEE CURRENT I- YIN I " I • Address 1 1 - . License # 1 • 1 . ELECTRICIAN • ' . COMPANY I SIGNATURE EcISTERE0 I Y/ N 1 FEE euRRENT I Y/ N 1 • 1 , Address 1 License # I 1 SIGNATURE R2 1 Y / N 1 FEE CURRENT . 1 YIN 1 Address ( . - 1 ,may .License � # 1 1 MECHANICAL j4 / - COMPANY Ste/" �'' 'C ' 1 Ari� t'& CO -/ SIGNATURE ! . REGISTERED 1 Y 1 N 1 SEE cupjw r I Y/ N I • I r Address 1c-D .( 141)s2- "` ' " '4 ' C'/� of c? 9'2 7y ioi, r' Uce nse1f I /Y/ (�. OTHER - - COMPANY SIGNATURE - REGISTERED I Y/ N I FEE CURRENT 1 Y 1 N 1 Address 1 License # 1 ' I RESIDENTIAL Attach (2) Plot Plans: (2) sets of Building Plans; (1) set ql Energy Forms: R-O -W Permit (Or new construction. Minimum ten (10) working days after submittal date. Required onslte, Constriction Plans, Slormwater Plane wI Slit Fence installed, ' ' . Sanitary Fealties 8, 1 durnpster; site Work Permit tor subdivislons/large prbfects COMMERCIAL .. Altech (3) compl sets of Building Plans plus a Ufa Safety Page; (1) set of Energy Forms. R-0-W Permit for new construction. Minimum ten (10) working days after submittal date. Required ensile, Construction Plans, Stormwater Plans w/ Silt Fence Installed, Sanitary Facilities & 1 dumpsler. Site Work Permit for all new pro)eds. AU commercial rsqulreroents must meat compliance SION PERMIT Attach (2) sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construMlon. • 1f - 1 - ) 111 3 t11- Directions: - • . - F1U out application completely. • , Owner Contractor sign back of application, notarized If over ;2500, a Notice of Commencement Is required. (A/C upgrades over $3000) - Agent (tor Me cqntractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner au(hoozing same OVER THE COUNTER PERMITTING (Front of Application Only) - • . . Raroofs Sewers • Service Upgrades A/C Fences (Plot/Survey/Footage) - Driyeways -Not over Counter If on public roadways-needs ROW